NPIMap

Organization Active NPI

Northern Utah Healthcare Corporation

  • Emergency Care Clinic/Center
  • West Valley, UT
National Provider Identifier
1174465488
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
NORTHERN UTAH HEALTHCARE CORPORATION
Practice address
5668 Brud Dr
West Valley, UT 84128-6909
Phone
(615) 344-9551
NPI assigned
Apr 7, 2026
Organization subpart
Yes
Parent organization
NORTHERN UTAH HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Matthew Steven Hasbrouck
Title
Ceo
Phone
(615) 792-6123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

5668 Brud Dr
West Valley, UT 84128-6909

Mailing address

5668 Brud Dr
West Valley, UT 84128-6909

Other names 1

  • St Mark's Hospital West Valley Emergency Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2160667St Mark'S Hospital West Valley Fser5668 W Brud Drive, West Valley City, UT 84128AccreditationMar 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
No Columbia St Marks Ho12 organizations share this tax ID, including this one
Part of
No Columbia St Marks Ho

Other organizations with this tax ID 11

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

Locations

5668 W Brud Dr
West Valley, UT 84128
Phone (801) 542-9292

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1174465488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5668 BRUD DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841286909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5668 BRUD DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841286909",
            "telephone_number": "615-344-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "HASBROUCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-792-6123"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Mark's Hospital West Valley Emergency Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.