SALT LAKE CITY VAMC (NPI# 1619113115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619113115 |
| Entity Type | Organization |
| Organization Name | SALT LAKE CITY VAMC |
| Other Organization Name | WEST VALLEY CITY VA CLINIC |
| Practice Address |
2750 S 5600 W West Valley City UT 84120-1249 |
| Mailing Address |
Po Box 94463 Cleveland OH 44101-4463 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Valley City VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980316 | Salt Lake City Vamc | Clinic/Center | 2380 N 400 E Ste G, North Logan, UT 84341-1769 | 2020-07-29 |
| 1124419551 | Salt Lake City Vamc | Clinic/Center | 189 S 600 W, Suite B, Price, UT 84501-2833 | 2015-02-06 |
| 1295126621 | Salt Lake City Vamc | Clinic/Center | 2719 Argent Avenue, Suite 9, Elko, NV 89801-8443 | 2015-02-06 |
| 1124062898 | Salt Lake City Vamc | Clinic/Center | 245 W 200 N, Roosevelt, UT 84066-2740 | 2006-06-15 |
| 1184664559 | Salt Lake City Vamc | Clinic/Center | 230 N 1680 E, Building N, St George, UT 84790-2579 | 2006-06-07 |
| 1093753675 | Salt Lake City Vamc | Clinic/Center | 774 S State St, Orem, UT 84058-6308 | 2006-06-03 |
| 1356812655 | Salt Lake City Vamc | Clinic/Center | 5957 Fashion Point Dr, South Ogden, UT 84403-5180 | 2018-12-12 |
| 1497146823 | Salt Lake City Vamc | Clinic/Center | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2015-02-06 |
| 1407894868 | Salt Lake City Vamc | Clinic/Center | 982 Chambers St, South Ogden, UT 84403-4571 | 2006-06-04 |
| 1487691002 | Salt Lake City Vamc | Clinic/Center | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2006-06-01 |
| Street Address |
2750 S 5600 W |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578745238 | Jessica Ann Karren | Nurse Practitioner | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2007-12-04 |
| 1407326929 | Shawna Venable | Audiologist | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2018-11-27 |
| 1790152973 | Kristy Martin | Nurse Practitioner | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2015-08-24 |
| 1528478419 | Geoffrey James Heckel | Nurse Practitioner | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2014-05-01 |
| 1275895948 | Shannon Kartchner | Registered Nurse | 2750 S 5600 W, Suite B, West Valley City, UT 84120-1249 | 2012-06-08 |
| 1689934572 | James Frederick Rendo | Registered Nurse | 2750 S 5600 W, Suite B, West Valley City, UT 84120-1249 | 2012-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980316 | Salt Lake City Vamc | Clinic/Center | 2380 N 400 E Ste G, North Logan, UT 84341-1769 | 2020-07-29 |
| 1124419551 | Salt Lake City Vamc | Clinic/Center | 189 S 600 W, Suite B, Price, UT 84501-2833 | 2015-02-06 |
| 1124062898 | Salt Lake City Vamc | Clinic/Center | 245 W 200 N, Roosevelt, UT 84066-2740 | 2006-06-15 |
| 1184664559 | Salt Lake City Vamc | Clinic/Center | 230 N 1680 E, Building N, St George, UT 84790-2579 | 2006-06-07 |
| 1093753675 | Salt Lake City Vamc | Clinic/Center | 774 S State St, Orem, UT 84058-6308 | 2006-06-03 |
| 1356812655 | Salt Lake City Vamc | Clinic/Center | 5957 Fashion Point Dr, South Ogden, UT 84403-5180 | 2018-12-12 |
| 1538550959 | Grand Junction Vamc | Clinic/Center | 702 S Main St, Suite 5b, Moab, UT 84532-2943 | 2015-02-06 |
| 1407894868 | Salt Lake City Vamc | Clinic/Center | 982 Chambers St, South Ogden, UT 84403-4571 | 2006-06-04 |
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
Please comment or provide details below to improve the information on SALT LAKE CITY VAMC.
| 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.