Christus Health Utah

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2006-NCF-85 Issued in UT

Legal business name

CHRISTUS HEALTH UTAH

Doing business as

Christus St Joseph Villa

Practice address

451 Bishop Federal LN
Salt Lake City, UT 84115-2357

Phone

(801) 487-7557

Fax

(801) 487-1112

NPI assigned

Mar 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Galen K Ewer

Title

Ceo

Phone

(801) 487-7557

Specialties & licenses 1

Addresses

Other names 1

• Christus St Joseph Villa Doing business as

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093774218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 BISHOP FEDERAL LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152357",
            "telephone_number": "801-487-7557",
            "fax_number": "801-487-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BISHOP FEDERAL LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152357",
            "telephone_number": "801-487-7557",
            "fax_number": "801-487-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWER",
        "authorized_official_first_name": "GALEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-487-7557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2006-NCF-85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christus St Joseph Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol J Christopherson, RN, MSN
• Enoch Daniel Christopherson, PA-C
• Gwendelyn Anne Christopherson
• Michael K Christopherson
• Tyler Tony Christopulos, PHD
• Christus Health Utah (Christus Marian Center)
• Christus St. Joseph Villa (Christus Marian Center)
• Tressa Lizbeth Chriswell
• Meisha Chromey
• Jinju Chun

• Skilled Nursing Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.