NPIMap

Organization Active NPI

Northern Utah Healthcare Corporation

Doing business as St Mark's Hospital Behavioral Health Services

  • Psychiatric Hospital Unit
  • Salt Lake City, UT
National Provider Identifier
1457794323
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
NORTHERN UTAH HEALTHCARE CORPORATION
Doing business as
St Mark's Hospital Behavioral Health Services
Practice address
1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone
(801) 268-7432
Fax
(855) 846-5094
NPI assigned
Apr 10, 2013
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN UTAH HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Michael L. Herron
Title
Cfo
Phone
(801) 268-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

1200 E 3900 S
Salt Lake City, UT 84124-1300

Mailing address

1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone (801) 268-7432

Other names 1

  • ST MARK'S HOSPITAL BEHAVIORAL HEALTH SERVICES Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000190 UT Part A Provider - Hospital 2668379397 Practice locations: Salt Lake City, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457794323. Details of each certification follow.

Hospital certification: CCN 46S047

Legal name
NORTHERN UTAH HEALTHCARE CORPORATION
Doing business as
ST MARKS HOSPITAL
Organization structure
CorporationProprietary
Enrollment address
1200 E 3900 S
Salt Lake City, UT 84124-1300
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Northern Columbia St Marks12 organizations share this tax ID, including this one
Part of
Northern Columbia St Marks

Other organizations with this tax ID 11

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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

1275 E Fort Union Blvd
Ste 150
Cottonwood Heights, UT 84047
Phone (801) 268-7766

74 E Kimballs Ln
Draper, UT 84020
Phone (801) 281-1300

1160 E 3900 S
Ste G100
Salt Lake City, UT 84124
Phone (801) 268-7358

3725 W 4100 S
Ste 202
West Valley City, UT 84120
Phone (801) 676-3742

Ownership & related parties

All disclosed owners & managing parties 39

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

NameRoleSinceShare
Kevin McKeown Individual Corporate OfficerDivision Cfo Apr 6, 2026
W-2 Managing EmployeeDivision Cfo Apr 6, 2026
Michael McAlevey Individual Corporate Officer Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 24, 2011 100%
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2007 100%
John M Franck Individual Corporate Director Apr 30, 2007
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual Contracted Managing Employee Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 8, 2017 100%
Henry Todd Maxwell Individual Corporate OfficerVice President Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Evan Ray Individual Corporate OfficerSenior Vice President Mar 1, 2024
Christopher F Wyatt Individual Corporate DirectorSenior Vice President Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Director Jan 1, 2010
John M Hackett Individual Corporate OfficerVice President Apr 18, 2016
Braden Tibbitts Individual Corporate OfficerCfo Mar 21, 2025
W-2 Managing Employee Mar 21, 2025
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 18%
Samuel N Hazen Individual Corporate Director Jan 1, 2010
Matthew Steven Hasbrouck Individual Corporate OfficerCeo Aug 12, 2024
W-2 Managing EmployeeAd; Aug 12, 2024
Ronald Lee Grubbs Individual Corporate Director Jan 1, 2010
Monica Cintado Individual Corporate Officer Oct 7, 2019
Jon Foster Individual Corporate OfficerSenior Vice President Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2007 100%
Hospital Corp LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 30, 2007 100%
Seth a Killingbeck Individual Corporate OfficerVP and Assistant Secretary Aug 10, 2012
Timothy Scott Noonan Individual Corporate OfficerVice President Apr 5, 2013
Natalie H Cline Individual Corporate OfficerVice President and Secretary Apr 5, 2013
Michael T Bray Individual Corporate Director Jan 1, 2010
Matthew R Favicchio Individual Corporate OfficerVice President Sep 25, 2025
Peter J Rossell Individual Corporate OfficerVice President Jan 1, 2023
Timothy M McManus Individual Corporate OfficerSenior Vice President Jan 1, 2023
Michael a Marks Individual Corporate OfficerSenior Vice President Sep 25, 2025
Edwin W Robinson Individual Corporate OfficerVice President Sep 25, 2025
Brad Ej Spicer Individual Corporate OfficerVice President Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Director Jan 1, 2010
Russell Young Individual Corporate OfficerVice President Jan 1, 2023

Facilities with the same owner 144

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

View all 144

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1457794323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241300",
            "telephone_number": "801-268-7432",
            "fax_number": "855-846-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241300",
            "telephone_number": "801-268-7432",
            "fax_number": "855-846-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "enumeration_date": "2013-04-10",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-268-7092"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST MARK'S HOSPITAL BEHAVIORAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST MARK'S HOSPITAL BEHAVIORAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.