NPIMap

Organization Active NPI

Northern Utah Healthcare Corporation

  • Rehabilitation Hospital Unit
  • Salt Lake City, UT
National Provider Identifier
1972879609
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
NORTHERN UTAH HEALTHCARE CORPORATION
Practice address
1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone
(801) 268-7700
Fax
(801) 270-3489
NPI assigned
Mar 27, 2012
Organization subpart
Yes
Parent organization
NORTHERN UTAH HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Michael L. Herron
Title
Cfo
Phone
(801) 268-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

1200 E 3900 S
Salt Lake City, UT 84124-1300

Mailing address

1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone (801) 268-7700

Other names 1

  • St. Mark's Hospital Doing business as

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000490 UT Part A Provider - Hospital 2668379397 Practice locations: Salt Lake City, UT

Hospital certification: CCN 46T047

Legal name
NORTHERN UTAH HEALTHCARE CORPORATION
Doing business as
ST MARK'S HOSPITAL
Organization structure
CorporationProprietary
Enrollment address
1200 E 3900 S
Salt Lake City, UT 84124-1300
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St Marks HospitalCCN 46T047
Ownership
For profit
Certified
Aug 11, 2016

National Provider Directory

National Provider Directory
Tax ID family
No Columbia St Marks Ho12 organizations share this tax ID, including this one
Part of
No Columbia St Marks Ho

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 39

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin McKeown Individual Corporate OfficerDivision Cfo Apr 6, 2026
W-2 Managing EmployeeDivision Cfo Apr 6, 2026
Michael McAlevey Individual Corporate OfficerSenior Vice President Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 24, 2011 100%
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2007 100%
John M Franck Individual Corporate Director Apr 30, 2007
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual Contracted Managing Employee Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 8, 2017 100%
Henry Todd Maxwell Individual Corporate OfficerVice President Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Evan Ray Individual Corporate OfficerSenior Vice President Mar 1, 2024
Christopher F Wyatt Individual Corporate DirectorSenior Vice President Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Director Jan 10, 2010
John M Hackett Individual Corporate OfficerVice President Apr 18, 2016
Braden Tibbitts Individual Corporate OfficerCfo Mar 21, 2025
W-2 Managing Employee Mar 21, 2025
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 18%
Samuel N Hazen Individual Corporate Director Jan 1, 2010
Matthew Steven Hasbrouck Individual Corporate OfficerCeo Aug 12, 2024
W-2 Managing EmployeeAd; Aug 12, 2024
Ronald Lee Grubbs Individual Corporate Director Jan 1, 2010
Monica Cintado Individual Corporate Officer Oct 7, 2019
Jon Foster Individual Corporate OfficerSenior Vice President Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2007 100%
Hospital Corp LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 30, 2007 100%
Seth a Killingbeck Individual Corporate Officer Aug 10, 2012
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Michael T Bray Individual Corporate Director Jan 1, 2010
Matthew R Favicchio Individual Corporate OfficerVice President Sep 25, 2025
Peter J Rossell Individual Corporate OfficerVice President Jan 1, 2023
Timothy M McManus Individual Corporate OfficerSenior Vice President Jan 1, 2023
Michael a Marks Individual Corporate OfficerSenior Vice President Sep 25, 2025
Edwin W Robinson Individual Corporate OfficerVice President Sep 25, 2025
Brad Ej Spicer Individual Corporate OfficerVice President Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate OfficerVice President Nov 29, 2021
Deborah H Mullin Individual Corporate Director Jan 1, 2010
Russell Young Individual Corporate OfficerVice President Jan 1, 2023

Facilities with the same owner 144

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 144

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1972879609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241300",
            "telephone_number": "801-268-7700",
            "fax_number": "801-270-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241300",
            "telephone_number": "801-268-7700",
            "fax_number": "801-270-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN UTAH HEALTHCARE CORPORATION",
        "enumeration_date": "2012-03-27",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-268-7092"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "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": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.