NPIMap

Organization Active NPI

Northern Utah Healthcare Corporation

Doing business as St. Mark's Hospital

  • General Acute Care Hospital
  • Salt Lake City, UT
National Provider Identifier
1164469243
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NORTHERN UTAH HEALTHCARE CORPORATION
Doing business as
St. Mark's Hospital
Practice address
1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone
(801) 268-7111
Fax
(801) 270-3489
NPI assigned
May 31, 2006
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Michael L. Herron
Title
Cfo
Phone
(801) 268-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1200 E 3900 S
Salt Lake City, UT 84124-1300

Mailing address

1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone (801) 268-7111

Other identifiers 11

IdentifierTypeStateIssuer
477829MedicaidAZ
HS9UTMedicaidAK
1189157MedicaidNV
XHSP33137MedicaidCA
158945901MedicaidTX
112938400MedicaidWY
292841MedicaidOR
62133082902001OtherUTBLUE CROSS
805001700MedicaidID
3021219MedicaidWA
0410907MedicaidMT

Other names 1

  • ST. MARK'S HOSPITAL Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address STMARKS.COCYJ.UTA@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000607 UT Part A Provider - Hospital 2668379397 Practice locations: West Valley, UT; Taylorsville, UT; Salt Lake City, UT; Cottonwood Heights, UT; Murray, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164469243. Details of each certification follow.

Hospital certification: CCN 460047

Legal name
NORTHERN UTAH HEALTHCARE CORPORATION
Doing business as
ST MARKS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 22, 1989
Last certification
Apr 8, 2015
Beds
294
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 30, 1997 (1 total)
Organization structure
CorporationProprietary
Enrollment address
1200 E 3900 S
Salt Lake City, UT 84124-1300
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
St Mark's HospitalCCN 460047 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Northern Columbia St Marks12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

5688 W 3100 S
West Valley, UT 84128

Networks

  • UT PPO D-SNPPlans: DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) (H4473-004-000, H4473)

Interoperability endpoints

  • Direct secure messaging: stmarks.cocyj.uta@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 39

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin McKeown Individual Corporate OfficerDivision Cfo Apr 6, 2026
W-2 Managing EmployeeDivision Cfo Apr 6, 2026
Michael McAlevey Individual Corporate Officer Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 24, 2011 100%
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2007 100%
John M Franck Individual Corporate Director Apr 30, 2007
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual Contracted Managing Employee Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 8, 2017 100%
Henry Todd Maxwell Individual Corporate OfficerVice President Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Evan Ray Individual Corporate OfficerSenior Vice President Mar 1, 2024
Christopher F Wyatt Individual Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Officer Jan 1, 2010
John M Hackett Individual Corporate Officer Apr 18, 2016
Braden Tibbitts Individual Corporate OfficerCfo Mar 21, 2025
W-2 Managing Employee Mar 21, 2025
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 18%
Samuel N Hazen Individual Corporate Director Jan 1, 2010
Matthew Steven Hasbrouck Individual Corporate OfficerCeo Aug 12, 2024
W-2 Managing EmployeeAd; Aug 12, 2024
Ronald Lee Grubbs Individual Corporate Officer Jan 1, 2010
Monica Cintado Individual Corporate Officer Oct 7, 2019
Jon Foster Individual Corporate OfficerSenior Vice President Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2007 100%
Hospital Corp LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 30, 2007 100%
Seth a Killingbeck Individual Corporate Officer Aug 10, 2012
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Michael T Bray Individual Corporate Officer Jan 1, 2010
Matthew R Favicchio Individual Corporate OfficerVice President Sep 25, 2025
Peter J Rossell Individual Corporate OfficerVice President Jan 1, 2023
Timothy M McManus Individual Corporate OfficerSenior Vice President Jan 1, 2023
Michael a Marks Individual Corporate OfficerSenior Vice President Sep 25, 2025
Edwin W Robinson Individual Corporate OfficerVice President Sep 25, 2025
Brad Ej Spicer Individual Corporate OfficerVice President Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Officer Jan 1, 2010
Russell Young Individual Corporate OfficerVice President Jan 1, 2023

Facilities with the same owner 144

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 144

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 612

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 612

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1164469243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241300",
            "telephone_number": "801-268-7111",
            "fax_number": "801-270-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241300",
            "telephone_number": "801-268-7111",
            "fax_number": "801-270-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-268-7092"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477829",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS9UT",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189157",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP33137",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158945901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112938400",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292841",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "62133082902001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805001700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3021219",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410907",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "STMARKS.COCYJ.UTA@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "1200 E 3900 S",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841241300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST. MARK'S HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. MARK'S HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.