NPIMap

Organization Active NPI

Cache Valley Specialty Hospital

  • General Acute Care Hospital
  • North Logan, UT
National Provider Identifier
1669446563
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2005-HOSP-14503 Issued in UT
Legal business name
CACHE VALLEY SPECIALTY HOSPITAL
Practice address
2380 N 400 E
North Logan, UT 84341-1749
Phone
(435) 713-9700
Fax
(435) 753-8005
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
David S Geary
Title
Cfo
Phone
(435) 713-9582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2005-HOSP-14503 UT Primary

Addresses

Primary practice location

2380 N 400 E
North Logan, UT 84341-1749

Mailing address

2380 N 400 E
North Logan, UT 84341-6000
Phone (435) 713-9700

Other identifiers 2

IdentifierTypeStateIssuer
8059105MedicaidUT
115751500MedicaidWY

Practitioners 28

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

View all 28

National Provider Directory

National Provider Directory
Tax ID family
Mountain Division - CVH LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2380 N 400 E
Bldg Main
North Logan, UT 84341

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1669446563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 N 400 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843416000",
            "telephone_number": "435-713-9700",
            "fax_number": "435-753-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N 400 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411749",
            "telephone_number": "435-713-9700",
            "fax_number": "435-753-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE VALLEY SPECIALTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-713-9582"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "UT",
            "license": "2005-HOSP-14503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8059105",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115751500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.