Salt Lake City VA

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

SALT LAKE CITY VA

Practice address

500 Foothil Dr
Salt Lake City, UT 84010

Phone

(801) 654-1046

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nan Hodge, DPM

Title

Podiatrist

Phone

(801) 654-1046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1114250081",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOOTHIL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84010",
            "telephone_number": "801-654-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE CITY VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "801-654-1046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "UT",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salt Lake City Dental Center, PLLC
• Salt Lake City Eye Care, LLC
• Salt Lake City Foot and Ankle Clinic, LLC
• Salt Lake City School District
• Salt Lake City V.a. Laboratory
• Salt Lake City Vamc
• Salt Lake City Vamc
• Salt Lake City Vamc
• Salt Lake Counseling and Coaching, PLLC
• Salt Lake Counseling Services, LLC

• All providers in Salt Lake City, UT
• General Acute Care Hospital in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.