Organization Active NPI

South Valley Inpulse Center

  • Infusion Therapy Clinic/Center
  • Draper, UT
National Provider Identifier
1114053907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
SOUTH VALLEY INPULSE CENTER
Practice address
12244 Business Park Dr Ste 160
Draper, UT 84020-6533
Phone
(801) 571-4043
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diana Harrison
Title
Ceo
Phone
(801) 571-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X UT Primary

Addresses

Primary practice location

12244 Business Park Dr Ste 160
Draper, UT 84020-6533

Mailing address

12244 Business Park Dr Ste 160
Draper, UT 84020-6533

National Provider Directory

National Provider Directory

Locations

12244 S Business Park Dr
Ste 160
Draper, UT 84020
Phone (801) 571-4043

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114053907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12244 BUSINESS PARK DR STE 160",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12244 BUSINESS PARK DR STE 160",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206533",
            "telephone_number": "801-571-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY INPULSE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-571-4043"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • 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.