NPIMap

Organization Active NPI

Tooele Hospital Corporation

Doing business as Mountain West Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Tooele, UT
National Provider Identifier
1851364947
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2005-HOSP-14233 Issued in UT
Legal business name
TOOELE HOSPITAL CORPORATION
Doing business as
Mountain West Medical Center
Practice address
2055 N Main St
Tooele, UT 84074-9819
Phone
(435) 843-3600
NPI assigned
Feb 9, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TOOELE HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Randy Michael Cooper
Title
SVP Finance Op/Authorized Official
Phone
(615) 221-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2005-HOSP-14233 UT Primary

Addresses

Primary practice location

2055 N Main St
Tooele, UT 84074-9819

Mailing address

2055 N Main St
Tooele, UT 84074-9819
Phone (435) 843-3600

Other names 1

  • Mountain West Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Tooele Hospital Corporation Inc

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1851364947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749819",
            "telephone_number": "435-843-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749819",
            "telephone_number": "435-843-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOOELE HOSPITAL CORPORATION",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3840"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "UT",
            "license": "2005-HOSP-14233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain West Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain West Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.