Organization Active NPI

Pioner Valley Hospital Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • West Valley City, UT
National Provider Identifier
1609934132
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.