Organization Active NPI

Ashley Valley Medical Center LLC

  • General Acute Care Hospital
  • Vernal, UT
National Provider Identifier
1447296249
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ASHLEY VALLEY MEDICAL CENTER LLC
Practice address
150 W 100 N
Vernal, UT 84078-2036
Phone
(435) 789-3342
Fax
(435) 789-1314
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Charlotte Lawrrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary
Rural Acute Care Hospital 282NR1301X 2004HOSP165 UT

Addresses

Primary practice location

150 W 100 N
Vernal, UT 84078-2036

Mailing address

150 W. 100 N.
Vernal, UT 84078
Phone (435) 789-3342

Other names 1

  • Ashley Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley@yourcarecommunity.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806001154 UT Part A Provider - Hospital 5698747046 Practice locations: Vernal, UT

Hospital certification: CCN 460030

Legal name
ASHLEY VALLEY MEDICAL CENTER LLC
Doing business as
ASHLEY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 31, 1966
Last certification
Dec 14, 2011
Beds
39
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 1999 (1 total)
Organization structure
LLCProprietary
Incorporated
Nov 9, 1998 in DE
Enrollment address
150 W 100 N
Vernal, UT 84078-2036
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Ashley Regional Medical CenterCCN 460030
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ashley Regional Medical Ctr Ekg Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 W 200 N
Vernal, UT 84078
Phone (435) 781-2650

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Corporate Services General Partnership Organization, Brentwood, TN Operational/Managerial Control Apr 15, 2005
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Jun 26, 2002 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Jun 26, 2002 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Apr 1, 2010
William Ziesmer Individual Corporate OfficerCfo Feb 12, 2024
Charlotte E Lawrence Individual Corporate OfficerSecretary Apr 4, 2022
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Nov 1, 2016
Christopher J Monte Individual Corporate OfficerVice President Jun 26, 2006
Jennifer Alderfer Individual Corporate OfficerPresident Oct 30, 2023
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 13, 2019
Alan Olive Individual W-2 Managing EmployeeFacility Ceo Feb 19, 2024

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 195

Practitioners & affiliated clinicians

Affiliated clinicians 67

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1447296249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W. 100 N.",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "84078",
            "telephone_number": "435-789-3342",
            "fax_number": "435-789-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 100 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782036",
            "telephone_number": "435-789-3342",
            "fax_number": "435-789-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY VALLEY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LAWRRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "UT",
            "license": "2004HOSP165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "151 W 200 N",
            "city": "Vernal",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840781907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ashley Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashley Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.