SLC VA Medical Center

Primary specialty

Special HospitalTaxonomy code 284300000X

License

184759-3102 Issued in UT

Legal business name

SLC VA MEDICAL CENTER

Practice address

500 Foothill Drive
Salt Lake City, UT 84148

Phone

(801) 582-1565

NPI assigned

Jul 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy W Dustin, RN, MSN

Title

Case Manager

Phone

(801) 582-1565

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1023306297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84148",
            "telephone_number": "801-582-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLC VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "DUSTIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "801-582-1565",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "UT",
            "license": "184759-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lynn Slaughter
• SLC Billing Inc
• SLC Frog Point Therapy, LLC
• SLC Medical Supplies LLC
• SLC PDC PLLC
• Sleep Well & Rise LLC
• Margaret Caitlin Slein
• Emma Penelope Slikker
• Gerald Scott Sloan
• Josephine L Sloan

• Special Hospital in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Special Hospital in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.