KPC PROMISE HOSPITAL OF SALT LAKE LLC (NPI# 1851901870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851901870 |
Entity Type | Organization |
Organization Name | KPC PROMISE HOSPITAL OF SALT LAKE LLC |
Practice Address |
4252 S Birkhill Blvd Murray UT 84107-5715 |
Mailing Address |
9 Kpc Pkwy Ste 301 Corona CA 92879-7102 |
Practice Telephone | 3854250050 |
Mailing Telephone | 9517828812 |
Enumeration Date | 2020-08-04 |
Last Update Date | 2020-08-04 |
Authorized Official Name | WILLIAM THOMAS (SECRETARY) |
Authorized Official Telephone | 9519878100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
KPC Promise Hospital of Salt Lake | Doing Business As Name - Organization |
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 |
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 |
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 |
1689913451 | Landmark Hospital of Salt Lake City, LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2013-02-13 |
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 | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124084835 | Icare Pharmacy | Pharmacy | 109 W.gentile Street, Layton, UT 84041 | 2006-04-21 |
1013354067 | Mckay-dee Hospital | Pharmacy | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2013-05-31 |
1609110816 | Ihc Health Services, Inc. | Pharmacy | 1000 N Main St, Richfield, UT 84701-1857 | 2012-11-15 |
1154674653 | American Fork Hospital | Pharmacy | 170 N 1100 E, American Fork, UT 84003-2096 | 2012-10-22 |
1225389810 | Park City Medical Center | Pharmacy | 900 Round Valley Dr, Park City, UT 84060-7552 | 2012-09-24 |
1316218449 | Utah State Hospital Pharmacy | Pharmacy | 1300 East Center Street, Provo, UT 84606-3554 | 2012-01-20 |
1972870517 | State of Utah | Pharmacy | 14425 Bitterbrush Ln, Draper, UT 84020-9501 | 2011-11-28 |
1396935375 | Utah Valley Specialty Hospital (pharmacy) | Pharmacy | 306 River Bend Ln, Provo, UT 84604-5625 | 2007-07-26 |
1942425475 | Castleview Hospital | Pharmacy | 300 N Hospital Dr, Price, UT 84501-4218 | 2007-04-17 |
1922160043 | Moab Valley Healthcare, Inc. | Pharmacy | 450 Williams Way, Moab, UT 84532-2065 | 2006-12-14 |
Find all providers with the same taxonomy |
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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.