KPC Promise Hospital of Salt Lake LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

KPC PROMISE HOSPITAL OF SALT LAKE LLC

Practice address

4252 S Birkhill Blvd
Murray, UT 84107-5715

Phone

(801) 408-7100

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

William Thomas

Title

Secretary

Phone

(951) 987-8100

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1154985695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 350",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322754",
            "telephone_number": "561-869-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 S BIRKHILL BLVD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075715",
            "telephone_number": "801-408-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPC PROMISE HOSPITAL OF SALT LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2021-11-01",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-987-8100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selma Subin Koo
• Jessica Marie Koontz, PT, DPT
• Ines Katharina Korbanka, LPC
• David J Kotter, APRN
• Kow Holdings LLC
• KPC Promise Hospital of Salt Lake LLC (KPC Promise Hospital of Salt Lake)
• Zachary R Krahn, MD
• Mark Kraus, M.D., PH.D.
• Sabine Krautgasser-Tolman, RD
• Victoria Kravets, PA-C

• Long Term Care Hospital in Murray, UT
• Providers in Murray, UT by specialty
• Long Term Care Hospital in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.