Intermountain Healthcare

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

3589293501 Issued in UT

Legal business name

INTERMOUNTAIN HEALTHCARE

Practice address

4401 S Harrison Blvd
McKay-Dee
Ogden, UT 84403

Phone

(801) 387-7025

Fax

(801) 387-5511

NPI assigned

Mar 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert John Hunter, LCSW

Title

Crisis Worker

Phone

(801) 387-7025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1942332465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W 4050 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840678776",
            "telephone_number": "801-387-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S HARRISON BLVD",
            "address_2": "MCKAY-DEE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-387-7025",
            "fax_number": "801-387-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CRISIS WORKER",
        "authorized_official_telephone_number": "801-387-7025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "UT",
            "license": "3589293501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Access Hospital in Ogden, UT
• Providers in Ogden, UT by specialty
• Critical Access Hospital in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.