NPIMap

Organization Active NPI

Garfield County

Doing business as Intermountain Health Garfield Memorial Hospital

  • Critical Access Hospital
  • Panguitch, UT
National Provider Identifier
1508836867
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2015-HOSP-11631 Issued in UT
Legal business name
GARFIELD COUNTY
Doing business as
Intermountain Health Garfield Memorial Hospital
Practice address
200 N 400 E
Panguitch, UT 84759-7803
Phone
(435) 676-8811
NPI assigned
Jan 26, 2006
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Robert Allen
Title
Ceo
Phone
(801) 442-2000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X UT
Critical Access Hospital 282NC0060X 2015-HOSP-11631 UT Primary
Rural Acute Care Hospital 282NR1301X NU

Addresses

Primary practice location

200 N 400 E
Panguitch, UT 84759-7803

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other names 1

  • Intermountain Health Garfield Memorial Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161111001071 UT Part A Provider - Critical Access Hospital 6305744459 Receives reassigned benefits from 8 practitioners
Practice locations: Panguitch, UT
O20161111001114 UT Part A Provider - Critical Access Hospital 6305744459 Practice locations: Panguitch, UT

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1508836867. Details of each certification follow.

Hospital certification: CCN 461333

Legal name
GARFIELD COUNTY
Doing business as
INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 24, 2017
Last certification
Dec 1, 2021
Beds
15
Ownership / control type
Other
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 2000 in UT
Enrollment address
200 N 400 E
Panguitch, UT 84759-7803
Main/Primary Hospital Location

Hospital certification: CCN 46Z333

Legal name
GARFIELD COUNTY
Doing business as
INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 2000 in UT
Enrollment address
200 N 400 E
Panguitch, UT 84759-7803
Other Hospital Practice Location

Hospital certification: CCN 460033

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GARFIELD MEMORIAL HOSPITAL
Certification status
Terminated Other: provider status change, Jan 24, 2017
Provider type (POS)
Hospital – Short-term
Participating since
Oct 18, 1966
Last certification
Jan 11, 2017
Beds
15
Ownership / control type
Local
Facility address
200 North 400 East
Panguitch, UT 84759

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Intermountain Health Garfield Memorial HospitalCCN 461333 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

  • Garfield County

    dba Garfield Hospital Physicians Group

    • Multi-Specialty Clinic/Center
    • Panguitch, UT
    • NPI 1356350219

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Hailie Pollock Individual Corporate OfficerNurse Administrator May 15, 2022
W-2 Managing EmployeeNurse Administrator May 15, 2022
Corporate DirectorNurse Administrator May 15, 2022
W-2 Managing EmployeeAd; May 15, 2022
Troy Spring Individual Corporate OfficerRevenue Services VP Feb 9, 2015
Corporate OfficerRevenue Services VP Apr 1, 2022
Mitchell Cloward Individual Corporate OfficerRegion President Jul 24, 2023
Derrick Haslem Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Evan Vickers Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Ihc Health Services Inc Organization, Salt Lake City, UT Corporation, Non-profit Operational/Managerial Control Jan 1, 2017
Operational/Managerial Control Jul 1, 2000
Elizabeth a Beckman Individual Corporate DirectorBoard Trustee Apr 1, 2022
Corporate DirectorTrustee Apr 1, 2022
Leland F Pollock Individual Corporate OfficerGarfield County Commissioner Jan 1, 2024
Jerry a Taylor Individual Corporate OfficerGarfield County Commissioner Jan 1, 2024
Russell Childs Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Sylvester N Berube Individual Corporate DirectorBoard Trustee Apr 1, 2022
Corporate DirectorTrustee Apr 1, 2022
David B Tebbs Individual Corporate OfficerGarfield County Commissioner Jan 1, 2024
Garfield County Organization, Panguitch, UT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%
5% Or Greater Direct Ownership Interest Apr 26, 2010
Cyndi Woodbury Gilbert Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Danny K Shaw Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Nicole Mouskondis Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Keith Whitfield Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Deann Robinson Brown Individual Corporate OfficerHospital President Apr 3, 2022
Corporate OfficerHospital Administrator Mar 31, 2022
Robert W Allen Individual Corporate DirectorBoard Member Dec 1, 2022
Corporate DirectorCeo Dec 1, 2022
Devaraj a Ramsamy Individual Corporate OfficerFinancial Administrator Apr 28, 2024
Peter Guzman Individual Corporate DirectorTrustee Dec 4, 2024

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Garfield Memorial HospitalPanguitch, UT, CCN 463984 Rural health clinic 5% Or Greater Direct Ownership Interest Jan 21, 2010
Garfield CountyCircleville, UT, CCN 463980 Rural health clinic 5% Or Greater Direct Ownership Interest Apr 26, 2010
Bryce Valley ClinicCannonville, UT, CCN 463981 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 26, 2010

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Garfield County

    dba Bryce Valley Clinic

    • Rural Health Clinic/Center
    • Cannonville, UT
    • NPI 1013119155

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Garfield County

    dba Circleville Clinic

    • Rural Health Clinic/Center
    • Circleville, UT
    • NPI 1649472796

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Garfield County

    dba Garfield Memorial Clinic

    • Rural Health Clinic/Center
    • Panguitch, UT
    • NPI 1760684815

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 79

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

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1508836867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 400 E",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847597803",
            "telephone_number": "435-676-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-442-2000"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "UT",
            "license": "2015-HOSP-11631",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Intermountain Health Garfield Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panguitch, UT

Sources for this page

Verify at the official NPI Registry.