INTERMOUNTAIN HEALTHCARE (NPI# 1063748028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063748028 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN HEALTHCARE |
| Practice Address |
4401 Harrison Blvd Newborn Intensive Care Unit Ogden UT 84403-3195 |
| Practice Telephone | 8013874326 |
| Practice Fax Number | 8013874306 |
| Mailing Telephone | 8013874326 |
| Mailing Fax Number | 8013874306 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | MS. CINDY K BARNEY (NEONATAL NURSE PRACTITIONER) |
| Authorized Official Telephone | 8015184717 |
| Authorized Official Credential | NNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
293473-4405 | UT | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790236446 | Intermountain Healthcare | General Acute Care Hospital | 821 Edgewood Dr, Ogden, UT 84403-4233 | 2016-10-18 |
| 1720445307 | Intermountain Healthcare | General Acute Care Hospital | 884 Black Rock Dr, Santa Clara, UT 84765-5440 | 2016-01-27 |
| 1144579616 | Intermountain Healthcare | General Acute Care Hospital | 5572 West Slate Canyon Drive, Apt B-101, West Jordan, UT 84081 | 2012-08-30 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1942332465 | Intermountain Healthcare | General Acute Care Hospital | 4401 S Harrison Blvd, Mckay-dee, Ogden, UT 84403 | 2007-03-10 |
| 1821548702 | Intermountain Healthcare | Chronic Disease Hospital | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-10-04 |
| 1790230860 | Intermountain Healthcare | General Acute Care Hospital | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-18 |
| 1114378288 | Intermountain Healthcare | Clinic/Center | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-06-29 |
| 1316304918 | Intermountain Healthcare | Rehabilitation Hospital | 1034 N 500 W, Speech and Hearing, Provo, UT 84604-3380 | 2016-01-27 |
| 1316331523 | Intermountain Healthcare | Clinic/Center | 527 W 400 N Ste 2, Orem, UT 84057-1951 | 2015-03-25 |
| Street Address |
4401 HARRISON BLVD NEWBORN INTENSIVE CARE UNIT |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-3195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538142922 | Paul S Thorpe | Pathology | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2005-11-21 |
| 1578172904 | Justin Richard Degooyer | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-07-31 |
| 1730707795 | Caitlin Karissa Taggart | Dietitian, Registered | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-07-07 |
| 1760006324 | Rachel Michelle Wright | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-05-29 |
| 1528688264 | Mckenna Kelly Vance | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-04-22 |
| 1073133252 | Carole Lomax | Dietitian, Registered | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-04-17 |
| 1821618000 | Tami Greaves Halford | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-04-17 |
| 1356988695 | Elizabeth A Hafen | Speech-Language Pathologist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2019-12-05 |
| 1902441835 | Courtney Mcdonald | Occupational Therapist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2019-11-14 |
| 1275178238 | Philip Hahn Gainer | Occupational Therapist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1144408675 | Intermountain Health Care | General Acute Care Hospital | 3159 Eagle Rock Way, Salt Lake City, UT 84120-1424 | 2008-02-06 |
| 1255461075 | Shriners Hospitals for Children | General Acute Care Hospital | 1275 Fairfax Rd, Salt Lake City, UT 84103-4324 | 2007-03-07 |
| 1790230860 | Intermountain Healthcare | General Acute Care Hospital | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-18 |
| 1376837203 | Intermountain Healthcare | General Acute Care Hospital | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2011-06-08 |
| 1245490424 | Eric Wallace Glissmeyer | General Acute Care Hospital | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-06-11 |
| 1225295520 | Primary Children's Medical Center | General Acute Care Hospital | 100 N Medical Dr, Primary Children's Medical Center Pediatric Cardiology, Salt Lake City, UT 84113-1103 | 2008-05-22 |
| 1861660268 | Intermountain Health Care | General Acute Care Hospital | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2008-02-19 |
| 1154508653 | Intermountain Healthcare | General Acute Care Hospital | 100 N Medical Dr, Pcmc, Salt Lake City, UT 84113-1103 | 2008-01-28 |
| 1710162755 | Primary Children's Medical Center | General Acute Care Hospital | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2008-01-09 |
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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.