South Valley Health Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2005-NCF-83 Issued in UT

Legal business name

SOUTH VALLEY HEALTH CENTER, LLC

Practice address

3706 W 9000 S
West Jordan, UT 84088-8813

Phone

(801) 280-2273

Fax

(801) 280-2285

NPI assigned

May 22, 2006

Last updated

Jan 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig R Johnson

Title

Member

Phone

(801) 268-1122

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1780638759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57850",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841570850",
            "telephone_number": "801-268-1122",
            "fax_number": "801-268-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888813",
            "telephone_number": "801-280-2273",
            "fax_number": "801-280-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-268-1122"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005-NCF-83",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "UT",
            "license": "2007-NCF-83",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "UT",
            "license": "2007-NCF-83",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870439756007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sorenson Medical, Inc. (Infusion Therapy Billing Services)
• Angela Sorich
• Amanda Echo Sortor
• South Valley Dental Associates, LLC
• South Valley Ear Nose and Throat Associates, PLLC
• South Valley Sanctuary (SVS - Colleen's Sanctuary)
• South Valley Women's Imaging, LLC
• Southwest Children's Clinic
• Southwest Family Medicine, LLC
• Southwest Pain Relief LLC

• Skilled Nursing Facility in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.