PRIVATE HEALTHCARE FACILITIES (NPI# 1124507835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124507835 |
| Entity Type | Organization |
| Organization Name | PRIVATE HEALTHCARE FACILITIES |
| Practice Address |
1172 E 4th Ave Salt Lake City UT 84103-4124 |
| Mailing Address |
902 Kitty Hawk Rd # 170487 Universal City TX 78148-3825 |
| Practice Telephone | 8669962340 |
| Mailing Telephone | 8669962340 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | MS. PRISCILLA HOLLINGSWORTH (OFFICE STAFF) |
| Authorized Official Telephone | 8669962340 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIVATE HEALTHCARE FACILITIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170866 | Private Healthcare Facilities | Clinic/Center | 5617 Spring Valley Rd, Burlington, WI 53105-9003 | 2020-09-30 |
| 1689290322 | Private Healthcare Facilities | Clinic/Center | 3920 W National Ave, Milwaukee, WI 53215-1012 | 2020-06-18 |
| 1972124014 | Private Healthcare Facilities | Clinic/Center | 230 Carson Vw, Markleeville, CA 96120-9630 | 2020-04-29 |
| 1285254631 | Private Healthcare Facilities | Clinic/Center | 6383 W Pleasant Valley Rd, Blanchard, MI 49310-9116 | 2020-04-24 |
| 1164042362 | Private Healthcare Facilities | Clinic/Center | 17872b Cussewago Rd, Meadville, PA 16335-4504 | 2020-04-17 |
| 1396373858 | Private Healthcare Facilities | Clinic/Center | 515 S Canton Rd, Potsdam, NY 13676-3162 | 2020-03-31 |
| 1558998955 | Private Healthcare Facilities | Clinic/Center | 4762 Sweeney Cir, Rocklin, CA 95677-2885 | 2020-03-25 |
| 1437628096 | Private Healthcare Facilities | Clinic/Center | 1859 W 2175 S, Syracuse, UT 84075-8567 | 2018-11-13 |
| 1114496783 | Private Healthcare Facilities | Clinic/Center | 1803 Main St # A, Klamath Falls, OR 97601-2636 | 2018-11-13 |
| 1043789613 | Private Healthcare Facilities | Clinic/Center | 1040 E Broadway St Ste B, Goldendale, WA 98620-9154 | 2018-11-13 |
| Street Address |
1172 E 4TH AVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711635 | National Birth Centers Inc | Clinic/Center | 1172 E 4th Ave, Salt Lake City, UT 84103-4124 | 2017-10-20 |
| 1689153561 | Community Birth Group | Clinic/Center | 1172 E 4th Ave, Salt Lake City, UT 84103-4124 | 2018-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649806563 | Community Birth Group | Clinic/Center | 5089 S 900 E Ste 201, Salt Lake City, UT 84117-5724 | 2020-03-23 |
| 1942711635 | National Birth Centers Inc | Clinic/Center | 1172 E 4th Ave, Salt Lake City, UT 84103-4124 | 2017-10-20 |
| 1639294721 | Ihc Health Services | Clinic/Center | 855 W 1300 S, Salt Lake City, UT 84104 | 2007-03-20 |
| 1699302067 | Private Healthcare Facilities | Clinic/Center | 5089 S 900 E Ste 201, Salt Lake City, UT 84117-5724 | 2020-03-25 |
| 1568909372 | Edge Medical Services | Clinic/Center | 5107 S 900 E Ste 140, Salt Lake City, UT 84117-6630 | 2017-01-31 |
| 1184034456 | The Birth Center, Inc. | Clinic/Center | 5107 S 900 E, Suite 140, Salt Lake City, UT 84117-6600 | 2014-05-07 |
| 1073923348 | The Birth Center 2, Inc. | Clinic/Center | 5089 S 900 E, Suite 201, Salt Lake City, UT 84117-5735 | 2014-05-07 |
| 1164546461 | Ihc Health Services | Clinic/Center | 1105 W 1000 N, Salt Lake City, UT 84116-2135 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170049 | Breath2life | Clinic/Center | 8884 W Cyprus St, Copperton, UT 84006-5511 | 2019-05-24 |
| 1437628096 | Private Healthcare Facilities | Clinic/Center | 1859 W 2175 S, Syracuse, UT 84075-8567 | 2018-11-13 |
| 1003367681 | Edge Medical Services | Clinic/Center | 545 S 670 E, Orem, UT 84097-6453 | 2016-10-19 |
| 1225587306 | Edge Medical Services | Clinic/Center | 960 W 2100 N, Pleasant Grove, UT 84062-9469 | 2016-09-29 |
| 1033668116 | Edge Medical Services | Clinic/Center | 36 E Summer Pl, Saratoga Springs, UT 84045-6408 | 2016-09-29 |
| 1114393220 | The Birth Place, LLC | Clinic/Center | 2333 Concord Ave, Santa Clara, UT 84765-5635 | 2015-08-12 |
| 1417372095 | Mermaid Birth, LLC | Clinic/Center | 48 S 100 E, Brigham City, UT 84302-2642 | 2014-02-19 |
| 1821384553 | Feels Like Home Birth Suites | Clinic/Center | 90 E 200 S, Pleasant Grove, UT 84062-2602 | 2011-06-21 |
| 1134244213 | Ihc Health Services | Clinic/Center | 1200 Iron Horse Dr, Park City, UT 84060-5129 | 2007-03-20 |
| 1366088114 | Utah Birth Centers, LLC | Clinic/Center | 360 S Fort Ln Ste 1b, Layton, UT 84041-5700 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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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.