Active NPI
Intermountain Healthcare
- Critical Access Hospital
- Salt Lake City, UT
National Provider Identifier
1346447331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 223797-8900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.