Active NPI
Donorconnect
- Organ Procurement Organization
- Murray, UT
National Provider Identifier
1083420863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Organ Procurement Organization
- Legal business name
- DONORCONNECT
- Practice address
- 6065 S Fashion Blvd Ste 125
Murray, UT 84107-5401 - Phone
- (018) 312-1010
- NPI assigned
- Dec 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melissa M Lloyd
- Title
- Cfo
- Phone
- (801) 312-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Organ Procurement Organization | 335U00000X | Primary |
Addresses
Primary practice location
6065 S Fashion Blvd Ste 125
Murray, UT 84107-5401
Mailing address
6065 S Fashion Blvd Ste 125
Murray, UT 84107-5401
Phone (018) 312-1010
Other names 1
- Intermountain Donor Services, Intermountain Organ Recovery Systems
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120201000905 | UT | Part A Provider - Organ Procurement Organization (Opo) | 9436316593 | Practice locations: Salt Lake City, UT |
National Provider Directory
National Provider DirectoryLocations
6065 S Fashion Blvd
Salt Lake City, UT 84107
Phone (801) 467-4210
230 S 500 E
Ste 490
Salt Lake City, UT 84102
Phone (801) 521-1755
6065 S Fashion Blvd
Ste 125
Salt Lake Cty, UT 84107
Phone (801) 261-0726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733443200000",
"number": "1083420863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 S FASHION BLVD STE 125",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075401",
"telephone_number": "018-312-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 S FASHION BLVD STE 125",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075401",
"telephone_number": "018-312-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONORCONNECT",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A",
"authorized_official_last_name": "LLOYD",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "801-312-1010",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "335U00000X",
"taxonomy_group": "",
"desc": "Organ Procurement Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain Donor Services, Intermountain Organ Recovery Systems",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.