NPIMap

Organization Active NPI

Intermountain Healthcare

  • Psychiatric Hospital Unit
  • Taylorsville, UT
National Provider Identifier
1760732507
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
4968440-2501 Issued in UT
Legal business name
INTERMOUNTAIN HEALTHCARE
Practice address
5770 S 1500 W BLDG C
Taylorsville, UT 84123-5216
Phone
(801) 313-7800
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Tammer Attallah
Title
Psychiatric Program Admin Director
Phone
(801) 313-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 4968440-2501 UT Primary

Addresses

Primary practice location

5770 S 1500 W BLDG C
Taylorsville, UT 84123-5216

Mailing address

5770 S 1500 W BLDG C
Taylorsville, UT 84123

Other names 1

  • Primary Children's Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Robert E Fowles MD482 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1760732507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 S 1500 W BLDG C",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 1500 W BLDG C",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235216",
            "telephone_number": "801-313-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "ATTALLAH",
        "authorized_official_first_name": "TAMMER",
        "authorized_official_title_or_position": "PSYCHIATRIC PROGRAM ADMIN DIRECTOR",
        "authorized_official_telephone_number": "801-313-7703"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "UT",
            "license": "4968440-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Children's Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.