Intermountain Healthcare
Organization Active NPI General Acute Care Hospital · Santa Clara, UT
NPI 1720445307 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1720445307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 6078476-4405 (UT)
- Legal business name
- INTERMOUNTAIN HEALTHCARE
- Practice address
- 884 Black Rock Dr
Santa Clara, UT 84765-5440 - Phone
- (435) 313-6330
- NPI assigned
- Jan 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Elisa Ann Edwards, APRN
- Title
- Family Nurse Practitioner
- Phone
- (435) 313-6330
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Bradley S Thompson DO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 6078476-4405 | UT | Yes |
Addresses
Primary practice location
884 Black Rock Dr
Santa Clara, UT 84765-5440
Mailing address
884 Black Rock Dr
Santa Clara, UT 84765-5440
Phone (435) 313-6330
Other providers in Santa Clara, UT
- Michael James Hench
- Allison Hilemon
- Matthew James Hoag
- In Home Provider
- Innovative Neontal Solutions LLC
- Jay Redd DMD PC
- Nicholas Jensen
- Elizabeth Ann Johnson
- Jonathan J Kolon
- Paul Martz
All providers in Santa Clara, UT · General Acute Care Hospital in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.