NPIMap

Organization Active NPI

University of Utah Health Care

  • General Acute Care Hospital
  • South Jordan, UT
National Provider Identifier
1083962047
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
8051588-1109 Issued in UT
Legal business name
UNIVERSITY OF UTAH HEALTH CARE
Practice address
5126 W Daybreak Pkwy
South Jordan, UT 84095-5994
Phone
(801) 213-4500
Fax
(801) 231-4837
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Kindra Stockton IV
Title
Provider Enrollment
Phone
(801) 587-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 8051588-1109 UT Primary

Addresses

Primary practice location

5126 W Daybreak Pkwy
South Jordan, UT 84095-5994

Mailing address

5126 W Daybreak Pkwy
South Jordan, UT 84095-5994
Phone (801) 213-4500

Other names 1

  • South Jordan Health Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2033165Arup at South Jordan Health Center5126 Daybreak Parkway, South Jordan, UT 84095AccreditationAug 14, 2026
46D2034832South Jordan Health Center Dermatology5126 W Daybreak Parkway, South Jordan, UT 84095RegistrationDec 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
South Jordan Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1083962047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 W DAYBREAK PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955994",
            "telephone_number": "801-213-4500",
            "fax_number": "801-231-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 W DAYBREAK PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955994",
            "telephone_number": "801-213-4500",
            "fax_number": "801-231-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF UTAH HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "KINDRA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "801-587-6336",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "UT",
            "license": "8051588-1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Jordan Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.