NPIMap

Organization Active NPI

Northern Utah Healthcare Corporation

Doing business as St. Mark's Hospital Senior Health Center

  • Clinic/Center
  • Cottonwood Heights, UT
National Provider Identifier
1952233223
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTHERN UTAH HEALTHCARE CORPORATION
Doing business as
St. Mark's Hospital Senior Health Center
Practice address
1275 E Fort Union Blvd Ste 150
Cottonwood Heights, UT 84047-1897
Phone
(801) 268-7766
NPI assigned
Jun 1, 2026
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN UTAH HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Braden Tibbitts
Title
Cfo
Phone
(801) 465-7107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1275 E Fort Union Blvd Ste 150
Cottonwood Heights, UT 84047-1897

Mailing address

1275 E Fort Union Blvd Ste 150
Cottonwood Heights, UT 84047-1897
Phone (801) 268-7766

Other names 1

  • St. Mark's Hospital Senior Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2063583St Mark's Hospital-Senior Health Center1275 E Fort Union Blvd, Ste 150, Cottonwood, UT 84047Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Northern Utah Healthcare Corporation12 organizations share this tax ID, including this one
Part of
Northern Utah Healthcare Corporation

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1952233223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E FORT UNION BLVD STE 150",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471897",
            "telephone_number": "801-268-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E FORT UNION BLVD STE 150",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471897",
            "telephone_number": "801-268-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "TIBBITTS",
        "authorized_official_first_name": "BRADEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-465-7107"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Mark's Hospital Senior Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.