Intermountain Health Care

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4936671-2401 Issued in UT

Legal business name

INTERMOUNTAIN HEALTH CARE

Practice address

1410 S McClelland St
Salt Lake City, UT 84105-2408

Phone

(801) 884-6848

NPI assigned

Mar 21, 2013

Last updated

Mar 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Morgan R Fry, DPT

Title

Physical Therapist

Phone

(801) 507-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1184966772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S MCCLELLAND ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052408",
            "telephone_number": "801-884-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S MCCLELLAND ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052408",
            "telephone_number": "801-884-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-507-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "UT",
            "license": "4936671-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Allergy & Immunology Clinic (Intermountain Allergy & Asthma)
• Intermountain Cardiovascular Assoc.
• Intermountain Diabetic Supply
• Intermountain Ear,Nose, and Throat Specialists LLC
• Intermountain Health Care
• Intermountain Health Care
• Intermountain Health Care
• Intermountain Health Care
• Intermountain Healthcare
• Intermountain Healthcare

• General Acute Care Hospital in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Acute Care Hospital in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.