PROMISE HOSPITAL OF SALT LAKE INC (NPI# 1609838911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609838911 |
| Entity Type | Organization |
| Organization Name | PROMISE HOSPITAL OF SALT LAKE INC |
| Practice Address |
8 Th Ave C St Salt Lake City UT 84143-0001 |
| Mailing Address |
999 Yamato Road 3rd Floor Boca Raton FL 33431 |
| Practice Telephone | 8014087120 |
| Practice Fax Number | 8014087113 |
| Mailing Telephone | 5618693100 |
| Mailing Fax Number | 5618260171 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | MR. JAMES HOPWOOD (CFO) |
| Authorized Official Telephone | 5618693100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 2004-HOSP-42993 | UT | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417111394 | Promise Hospital of Salt Lake Inc | Pharmacy | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2008-07-10 |
| Street Address |
8 TH AVE C ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346530375 | Elizabeth Mae Chabot | Surgery | 8 Th Ave C St, Salt Lake City, UT 84143-1001 | 2011-04-11 |
| 1215114905 | Cesar Enrique Briganti | Internal Medicine | 8 Th Ave C St, Salt Lake City, UT 84143-0002 | 2008-01-25 |
| 1750447959 | John Patrick Burke | Internal Medicine | 8 Th Ave C St, Salt Lake City, UT 84143-1001 | 2006-12-29 |
| 1568532505 | Gail Ruth Wilson | Nurse Practitioner | 8 Th Ave C St, Salt Lake City, UT 84143-1001 | 2006-11-08 |
| 1124123278 | Badri S Mojabi | Pharmacist | 8 Th Ave C St, Salt Lake City, UT 84143-0001 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487851515 | Promise Hospital Pharmacy | Long Term Care Hospital | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487855714 | Promise Hospital | Long Term Care Hospital | 9811 Quintail Ln, South Jordan, UT 84095-3241 | 2007-05-31 |
| 1154985695 | Kpc Promise Hospital of Salt Lake LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2019-04-30 |
| 1689913451 | Landmark Hospital of Salt Lake City, LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2013-02-13 |
| 1760412530 | Utah Valley Specialty Hospital Inc | Long Term Care Hospital | 306 River Bend Ln, Provo, UT 84604 | 2006-07-04 |
| City | SALT LAKE CITY |
| Zip Code | 84143 |
Please comment or provide details below to improve the information on PROMISE HOSPITAL OF SALT LAKE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.