NPIMap

Organization Active NPI

Intermountain Health Care

  • Health Educator
  • Murray, UT
National Provider Identifier
1912347451
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
195697-3102 Issued in UT
Legal business name
INTERMOUNTAIN HEALTH CARE
Practice address
5770 S 250 E Ste 310
Murray, UT 84107-8110
Phone
(801) 314-4500
Fax
(801) 314-2909
NPI assigned
Jun 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Paul Miner, M.D.
Title
Medical Director
Phone
(801) 314-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X 195697-3102 UT Primary

Addresses

Primary practice location

5770 S 250 E Ste 310
Murray, UT 84107-8110

Mailing address

5770 S 250 E Ste 310
Murray, UT 84107-8110
Phone (801) 314-4500

Other identifiers 1

IdentifierTypeStateIssuer
000055456OtherUTINTERMOUNTAIN MEDICAL GROUP

National Provider Directory

National Provider Directory
Tax ID family
Bradley S Thompson DO479 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": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1912347451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 S 250 E STE 310",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078110",
            "telephone_number": "801-314-4500",
            "fax_number": "801-314-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E STE 310",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078110",
            "telephone_number": "801-314-4500",
            "fax_number": "801-314-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "801-314-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "UT",
            "license": "195697-3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMOUNTAIN MEDICAL GROUP",
            "identifier": "000055456",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.