LANDMARK HOSPITAL OF SALT LAKE CITY, LLC (NPI# 1689913451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689913451 |
| Entity Type | Organization |
| Organization Name | LANDMARK HOSPITAL OF SALT LAKE CITY, LLC |
| Practice Address |
4252 S Birkhill Blvd Murray UT 84107-5715 |
| Mailing Address |
3255 Independence St Cape Girardeau MO 63701-4914 |
| Practice Telephone | 3852340944 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | MR. SCOTT BLAKLEY (CEO) |
| Authorized Official Telephone | 3852340944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 2013-HOSP-UT0005 | UT | Hospitals |
| Street Address |
4252 S BIRKHILL BLVD |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598733297 | Scott Paul Frost | Physical Therapist | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2006-03-09 |
| 1851901870 | Kpc Promise Hospital of Salt Lake LLC | Pharmacy | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2020-08-04 |
| 1154985695 | Kpc Promise Hospital of Salt Lake LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2019-04-30 |
| 1881120756 | Landmark Rehabilitation Hospital of Salt Lake City, LLC | Rehabilitation Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2017-05-11 |
| 1629303169 | Silverton Group LLC | Hospitalist | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2009-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 |
|---|---|---|---|---|
| 1154985695 | Kpc Promise Hospital of Salt Lake LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487855714 | Promise Hospital | Long Term Care Hospital | 9811 Quintail Ln, South Jordan, UT 84095-3241 | 2007-05-31 |
| 1609838911 | Promise Hospital of Salt Lake Inc | Long Term Care Hospital | 8 Th Ave C St, Salt Lake City, UT 84143-0001 | 2006-04-03 |
| 1487851515 | Promise Hospital Pharmacy | Long Term Care Hospital | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2007-07-02 |
| 1760412530 | Utah Valley Specialty Hospital Inc | Long Term Care Hospital | 306 River Bend Ln, Provo, UT 84604 | 2006-07-04 |
Please comment or provide details below to improve the information on LANDMARK HOSPITAL OF SALT LAKE CITY, LLC.
| 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.