SALT LAKE CITY VAMC


Address: 774 S State St, Orem, UT 84058-6308
Phone: 9135784409

SALT LAKE CITY VAMC (NPI# 1093753675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093753675
Entity Type Organization
Organization Name SALT LAKE CITY VAMC
Other Organization Name OREM VA CLINIC
Practice Address 774 S State St
Orem
UT 84058-6308
Mailing Address Po Box 94463
Cleveland
OH 44101-4463
Practice Telephone 9135784409
Mailing Telephone 9135784409
Enumeration Date 2006-06-03
Last Update Date 2020-09-29
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Orem VA Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659980316 Salt Lake City Vamc Clinic/Center 2380 N 400 E Ste G, North Logan, UT 84341-1769 2020-07-29
1124419551 Salt Lake City Vamc Clinic/Center 189 S 600 W, Suite B, Price, UT 84501-2833 2015-02-06
1295126621 Salt Lake City Vamc Clinic/Center 2719 Argent Avenue, Suite 9, Elko, NV 89801-8443 2015-02-06
1124062898 Salt Lake City Vamc Clinic/Center 245 W 200 N, Roosevelt, UT 84066-2740 2006-06-15
1184664559 Salt Lake City Vamc Clinic/Center 230 N 1680 E, Building N, St George, UT 84790-2579 2006-06-07
1356812655 Salt Lake City Vamc Clinic/Center 5957 Fashion Point Dr, South Ogden, UT 84403-5180 2018-12-12
1497146823 Salt Lake City Vamc Clinic/Center 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 2015-02-06
1619113115 Salt Lake City Vamc Clinic/Center 2750 S 5600 W, West Valley City, UT 84120-1249 2009-01-05
1407894868 Salt Lake City Vamc Clinic/Center 982 Chambers St, South Ogden, UT 84403-4571 2006-06-04
1487691002 Salt Lake City Vamc Clinic/Center 500 S 11th Ave, Pocatello, ID 83201-4835 2006-06-01

Office Location

Street Address 774 S STATE ST
City OREM
State UT
Zip Code 84058-6308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770006892 Walgreen Co Durable Medical Equipment & Medical Supplies 774 S State St, Orem, UT 84058-6308 2017-07-20
1013369602 Brian Tullis Pharmacist 774 S State St, Orem, UT 84058-6308 2016-07-07
1063825438 Rite Aid Pharmacy 774 S State St, Orem, UT 84058-6308 2014-06-03
1528378932 Christina Hillis Pharmacist 774 S State St, Orem, UT 84058-6308 2010-10-19
1730319922 Kenneth Robert Brown Pharmacist 774 S State St, Orem, UT 84058-6308 2009-07-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821696782 Kaley Brooksby Behavior Technician 1140 W 1130, Orem, UT 84058 2020-10-13
1679042303 Carolyn Mott Harvey Counselor 276 E 905 S, Orem, UT 84058 2018-11-26
1902371826 Jennifer Morgan Ellefsen Nurse Practitioner 800 W University Pkwy # Ms 200, Orem, UT 84058 2018-10-07
1508340944 Eye Pros of Orem Optometrist 366 E. University Parkway, Orem, UT 84058 2018-09-21
1003398025 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 366 E University Pkwy, Orem, UT 84058 2018-09-06
1407338288 Jecel Kevin Mendoza Case Manager/Care Coordinator 1109 W 1390 S, Orem, UT 84058 2018-08-29
1407368509 Kaitlyn Winget Specialist/Technologist 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 2017-10-30
1871010454 Linda S George Behavior Technician 1875 S Geneva Road, Orem, UT 84058 2017-08-24
1811435951 Rhea V. Perry Massage Therapist 35 S 400 W, Orem, UT 84058 2017-02-09
1457735425 John Thomas Garlock Behavioral Analyst 1140 W 1130 S Bld B, Orem, UT 84058 2015-07-19
Find all providers in zip 84058

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659980316 Salt Lake City Vamc Clinic/Center 2380 N 400 E Ste G, North Logan, UT 84341-1769 2020-07-29
1124419551 Salt Lake City Vamc Clinic/Center 189 S 600 W, Suite B, Price, UT 84501-2833 2015-02-06
1124062898 Salt Lake City Vamc Clinic/Center 245 W 200 N, Roosevelt, UT 84066-2740 2006-06-15
1184664559 Salt Lake City Vamc Clinic/Center 230 N 1680 E, Building N, St George, UT 84790-2579 2006-06-07
1356812655 Salt Lake City Vamc Clinic/Center 5957 Fashion Point Dr, South Ogden, UT 84403-5180 2018-12-12
1538550959 Grand Junction Vamc Clinic/Center 702 S Main St, Suite 5b, Moab, UT 84532-2943 2015-02-06
1619113115 Salt Lake City Vamc Clinic/Center 2750 S 5600 W, West Valley City, UT 84120-1249 2009-01-05
1407894868 Salt Lake City Vamc Clinic/Center 982 Chambers St, South Ogden, UT 84403-4571 2006-06-04

Competitor

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City OREM
Zip Code 84058

Improve Information

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Dataset Information

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.

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