Organization Active NPI

South Valley Women's Health Care, PC

  • Specialist
  • Bluffdale, UT
National Provider Identifier
1750460259
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTH VALLEY WOMEN'S HEALTH CARE, PC
Practice address
13825 S. Redwood Rd. #200
Bluffdale, UT 84065
Phone
(801) 569-2626
Fax
(801) 569-5333
NPI assigned
Nov 3, 2006
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Carol Christensen
Title
Office Manager
Phone
(801) 569-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

13825 S. Redwood Rd. #200
Bluffdale, UT 84065

Mailing address

13825 S. Redwood Rd. #200
Bluffdale, UT 84065
Phone (801) 569-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816000630 UT Part B Supplier - Clinic/Group Practice 7810927241 Receives reassigned benefits from 18 practitioners
Practice locations: Bluffdale, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0945243South Valley Women's Health Care PC13825 S Redwood Rd #200, Bluffdale, UT 84065Provider-performed microscopyApr 27, 2028

National Provider Directory

National Provider Directory

Locations

13825 S Redwood Rd
Bluffdale, UT 84065

13825 S Redwood Rd
Ste 200
Bluffdale, UT 84065
Phone (801) 569-2626

3570 W 9000 S
Ste 210
West Jordan, UT 84088
Phone (801) 569-2626

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1750460259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 S. REDWOOD RD. #200",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-569-2626",
            "fax_number": "801-569-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 S. REDWOOD RD. #200",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-569-2626",
            "fax_number": "801-569-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY WOMEN'S HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-569-5310"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffdale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.