Intermountain Healthcare
Organization Active NPI General Acute Care Hospital · Salt Lake City, UT
NPI 1235568130 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1235568130
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 278646 (UT)
- Legal business name
- INTERMOUNTAIN HEALTHCARE
- Practice address
- 8TH Avenue and C St
LDS Hospital
Salt Lake City, UT 84143 - Phone
- (801) 408-8500
- NPI assigned
- Nov 1, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen Bradford
- Title
- Clinic Manager
- Phone
- (801) 408-8500
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Bradley S Thompson DO
Locations
Lds Hospital 8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 408-5060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 278646 | UT | Yes |
Addresses
Primary practice location
8TH Avenue and C St
LDS Hospital
Salt Lake City, UT 84143
Mailing address
LDS Hospital 8TH Ave and C St
Pob Suite 172
Salt Lake City, UT 84143-0001
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All providers in Salt Lake City, UT · General Acute Care Hospital in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.