Active NPI
Pioner Valley Hospital Inc
- Geriatric Medicine (Internal Medicine) Physician
- West Valley City, UT
National Provider Identifier
1609934132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- PIONER VALLEY HOSPITAL INC
- Practice address
- 3336 Pioneer Pkwy
Suite 302
West Valley City, UT 84120-2000 - Phone
- (801) 964-3763
- Fax
- (801) 964-3538
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Spackman
- Title
- Cfo
- Phone
- (801) 964-3104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
3336 Pioneer Pkwy
Suite 302
West Valley City, UT 84120-2000
Mailing address
3336 Pioneer Pkwy
Suite 101
West Valley City, UT 84120-2000
Phone (801) 964-3948
Other names 1
- The Senior Clinic at Pioneer Valley Hospital
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Grantsville, UT
- NPI 1134334287
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1649393281
-
- Physical Therapist
- Cottonwood Heights, UT
- NPI 1710196944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609934132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 PIONEER PKWY",
"address_2": "SUITE 101",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841202000",
"telephone_number": "801-964-3948",
"fax_number": "801-964-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3336 PIONEER PKWY",
"address_2": "SUITE 302",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841202000",
"telephone_number": "801-964-3763",
"fax_number": "801-964-3538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONER VALLEY HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPACKMAN",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "801-964-3104"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Senior Clinic at Pioneer Valley Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.