TOOELE HOSPITAL CORPORATION (NPI# 1013107838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013107838 |
| Entity Type | Organization |
| Organization Name | TOOELE HOSPITAL CORPORATION |
| Other Organization Name | MOUNTAIN WEST PT |
| Practice Address |
2055 N Main St Tooele UT 84074-9819 |
| Mailing Address |
Po Box 847226 Dallas TX 75284-7226 |
| Practice Telephone | 4358433600 |
| Mailing Telephone | 4358433600 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS/AO) |
| Authorized Official Telephone | 6152213840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
2500-HOSP-14233 | UT | Ambulatory Health Care Facilities |
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
2500-HOSP-14233 | UT | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2500-HOSP-14233 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mountain West Medical Center | Doing Business As Name - Organization |
| Mountain West PT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730233735 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-01-23 |
| 1851364947 | Tooele Hospital Corporation | Medicare Defined Swing Bed Unit | 2055 N Main St, Tooele, UT 84074-9819 | 2006-02-09 |
| 1124090659 | Tooele Hospital Corporation | General Acute Care Hospital | 2055 N Main St, Tooele, UT 84074-9819 | 2006-02-07 |
| Street Address |
2055 N MAIN ST |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-9819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459479 | James Thomas Webber | Radiology | 2055 N Main St, Tooele, UT 84074-9819 | 2005-07-05 |
| 1992331334 | Ryan Michael Tullis | Emergency Medical Technician, Paramedic | 2055 N Main St, Tooele, UT 84074-9819 | 2020-03-17 |
| 1568908929 | Breann Nicole Banford | Registered Nurse | 2055 N Main St, Tooele, UT 84074-9819 | 2017-01-10 |
| 1467693473 | Cory Ann Hansen | Dietitian, Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2009-03-20 |
| 1477753705 | Tooele Hospital Corporation Inc | Ambulance | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-24 |
| 1841401155 | Mir-mustafa Mir-kasimov | Internal Medicine | 2055 N Main St, Tooele, UT 84074-9819 | 2007-05-25 |
| 1568597763 | Ronald Scott Overy | Pharmacist | 2055 N Main St, Tooele, UT 84074-9819 | 2007-02-21 |
| 1942345764 | Alan M. Layton | Pharmacist | 2055 N Main St, Tooele, UT 84074-9819 | 2007-02-20 |
| 1730233735 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-01-23 |
| 1972683498 | Dean Dennis Severson | Nurse Anesthetist, Certified Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1487261707 | Precision Jointcare LLC | Clinic/Center | 12523 S Creek Meadow Rd Ste 109, Riverton, UT 84065-7299 | 2020-09-30 |
| 1184231664 | Mountain Strong Spine and Performance | Clinic/Center | 1478 N 4925 W, Plain City, UT 84404-8300 | 2020-09-28 |
| 1881215085 | Move Well Age Well, LLC | Clinic/Center | 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 | 2020-04-29 |
| 1215557434 | Basin Therapy LLC | Clinic/Center | 101 E 1875 S, Roosevelt, UT 84066-3828 | 2020-04-17 |
| 1780222893 | Well Being Pelvic Physical Therapy | Clinic/Center | 111 E 5600 S Ste 222, Murray, UT 84107-8164 | 2019-12-19 |
| 1265094619 | Recalibrate Physical Therapy | Clinic/Center | 3450 S 400 E, Salt Lake City, UT 84115-4604 | 2019-07-06 |
| 1598229155 | Neurorev Pllc | Clinic/Center | 520 N Market Place Dr Ste 200, Centerville, UT 84014-4904 | 2019-01-29 |
| 1104395821 | Color Country Physical Therapy LLC | Clinic/Center | 450 E Clinic Way, Ste B, Parowan, UT 84761 | 2018-11-26 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.