Organization Active NPI

Jordan Valley Medical Center LP

  • Rehabilitation Hospital Unit
  • West Jordan, UT
National Provider Identifier
1144490160
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
2008-HOSP-810 Issued in UT
Legal business name
JORDAN VALLEY MEDICAL CENTER LP
Practice address
3580 W 9000 S
West Jordan, UT 84088-8812
Phone
(801) 561-8888
Fax
(801) 569-8723
NPI assigned
Mar 5, 2008
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
JORDAN VALLEY MEDICAL CENTER LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Steven M Anderson
Title
Hospital Ceo
Phone
(801) 561-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 2008-HOSP-810 UT Primary

Addresses

Primary practice location

3580 W 9000 S
West Jordan, UT 84088-8812

Mailing address

3580 W 9000 S
Attn: Billing
West Jordan, UT 84088-8812
Phone (801) 561-8888

Other identifiers 4

IdentifierTypeStateIssuer
213091OtherALTIUS
95900OtherPEHP
103002113104OtherIHC SELECT HEALTH
103002113105OtherIHC SELECT HEALTH ER

National Provider Directory

National Provider Directory
Part of
Jordan Valley Medical Center LP

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1144490160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 W 9000 S",
            "address_2": "ATTN: BILLING",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888812",
            "telephone_number": "801-561-8888",
            "fax_number": "801-569-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888812",
            "telephone_number": "801-561-8888",
            "fax_number": "801-569-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN VALLEY MEDICAL CENTER LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORDAN VALLEY MEDICAL CENTER LP",
        "enumeration_date": "2008-03-05",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "801-561-8888"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "UT",
            "license": "2008-HOSP-810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "213091",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "95900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC SELECT HEALTH",
            "identifier": "103002113104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC SELECT HEALTH ER",
            "identifier": "103002113105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.