NPIMap

Organization Active NPI

Hospital Corporation of Utah

Doing business as Lakeview Hospital

  • Psychiatric Hospital Unit
  • Bountiful, UT
National Provider Identifier
1497709471
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
HOSPITAL CORPORATION OF UTAH
Doing business as
Lakeview Hospital
Practice address
630 E Medical Dr
2ND Floor East Wing
Bountiful, UT 84010-4908
Phone
(801) 299-2503
Fax
(801) 299-2534
NPI assigned
May 22, 2006
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL CORPORATION OF UTAHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Wayne Dalton
Title
Cfo
Phone
(801) 299-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

630 E Medical Dr
2ND Floor East Wing
Bountiful, UT 84010-4908

Mailing address

630 Medical Dr
2ND Floor East Wing
Bountiful, UT 84010-4908
Phone (801) 299-2503

Other names 1

  • LAKEVIEW HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Part of
Lakeview Hospital Ekg

Locations

520 Medical Dr
Ste 100
Bountiful, UT 84010
Phone (801) 296-6665

630 Medical Dr
Fl 3
Bountiful, UT 84010
Phone (801) 299-2503

630 Medical Dr
Fl E
Bountiful, UT 84010
Phone (801) 299-2428

655 Medical Dr
Bountiful, UT 84010
Phone (801) 299-2503

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1497709471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MEDICAL DR",
            "address_2": "2ND FLOOR EAST WING",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104908",
            "telephone_number": "801-299-2503",
            "fax_number": "801-299-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E MEDICAL DR",
            "address_2": "2ND FLOOR EAST WING",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104908",
            "telephone_number": "801-299-2503",
            "fax_number": "801-299-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL CORPORATION OF UTAH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL CORPORATION OF UTAH",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-299-2503"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKEVIEW HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.