Organization Active NPI

Intermountain Healthcare

  • Critical Access Hospital
  • Salt Lake City, UT
National Provider Identifier
1346447331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
223797-8900 Issued in UT
Legal business name
INTERMOUNTAIN HEALTHCARE
Practice address
8TH Avenue and 'C' Street
Salt Lake City, UT 84143
Phone
(801) 408-3090
Fax
(801) 408-3098
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Terry Box, MD
Title
Director of Liver Transplant
Phone
(801) 205-0858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 223797-8900 UT Primary

Addresses

Primary practice location

8TH Avenue and 'C' Street
Salt Lake City, UT 84143

Mailing address

1900 South 2100 East
Salt Lake City, UT 84108-3153
Phone (801) 487-2854

Other names 1

  • LDS Hospital Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346447331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SOUTH 2100 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841083153",
            "telephone_number": "801-487-2854",
            "fax_number": "801-408-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AVENUE AND 'C' STREET",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84143",
            "telephone_number": "801-408-3090",
            "fax_number": "801-408-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DIRECTOR OF LIVER TRANSPLANT",
        "authorized_official_telephone_number": "801-205-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "UT",
            "license": "223797-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.