NPIMap

Organization Active NPI

Jordan Valley Medical Center LP

  • General Acute Care Hospital
  • West Valley City, UT
National Provider Identifier
1366440620
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2005HOSP811 Issued in UT
Legal business name
JORDAN VALLEY MEDICAL CENTER LP
Practice address
3460 Pioneer Pkwy
West Valley City, UT 84120-2049
Phone
(801) 964-3122
Fax
(801) 964-3112
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Steven M Anderson
Title
Hospital Ceo
Phone
(801) 964-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2005HOSP811 UT Primary

Addresses

Primary practice location

3460 Pioneer Pkwy
West Valley City, UT 84120-2049

Mailing address

3460 S Pioneer Pkwy
Attn: Billing
West Valley City, UT 84120-2049
Phone (801) 964-3100

Other identifiers 4

IdentifierTypeStateIssuer
95900OtherPEHP
103002113105OtherIHC SELECT HEALTH ER
103002113104OtherIHC SELECT HEALTH
310486OtherUTALTIUS

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8900 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 423-2641

3336 S Pioneer Pkwy
Ste 101
West Valley City, UT 84120
Phone (801) 964-3903

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1366440620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 S PIONEER PKWY",
            "address_2": "ATTN: BILLING",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202049",
            "telephone_number": "801-964-3100",
            "fax_number": "801-964-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 PIONEER PKWY",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202049",
            "telephone_number": "801-964-3122",
            "fax_number": "801-964-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN VALLEY MEDICAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "801-964-3800"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "UT",
            "license": "2005HOSP811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "95900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC SELECT HEALTH ER",
            "identifier": "103002113105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC SELECT HEALTH",
            "identifier": "103002113104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "310486",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.