INTERMOUNTAIN HEALTHCARE (NPI# 1316304918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316304918 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN HEALTHCARE |
| Other Organization Name | UTAH VALLEY REGIONAL MEDICAL CENTER |
| Practice Address |
1034 N 500 W Speech and Hearing Provo UT 84604-3380 |
| Mailing Address |
1034 N 500 W Provo UT 84604-3380 |
| Practice Telephone | 8013577448 |
| Mailing Telephone | 8013577448 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MS. ASHLEE SPARROW (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 4358813660 |
| Authorized Official Credential | M.S., CCC/SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 90852634102 | UT | Hospitals |
| Other Name | Type Code |
|---|---|
| Utah Valley Regional Medical Center | Other Name - Individual/Organization |
| 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 |
| 1316331523 | Intermountain Healthcare | Clinic/Center | 527 W 400 N Ste 2, Orem, UT 84057-1951 | 2015-03-25 |
| 1427456797 | Intermountain Healthcare | Orthopaedic Surgery | 652 S Medical Center Dr, Suite 120, St George, UT 84790-7049 | 2014-12-18 |
| Street Address |
1034 N 500 W SPEECH AND HEARING |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780671453 | Marc Sune Robins | Family Medicine | 1034 N 500 W, Provo, UT 84604-3380 | 2005-09-28 |
| 1417562885 | Mckenzie Hamilton | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2020-09-13 |
| 1235741042 | Kristi Kay Anderson | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2020-08-21 |
| 1255968681 | Tiffani Petersen | Registered Nurse | 1034 N 500 W, Provo, UT 84604-3380 | 2020-03-25 |
| 1477188811 | Jodi Benson | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2020-03-05 |
| 1649815879 | Jessica Ricaurte | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2019-11-12 |
| 1174167795 | Courtney Danielle Akina | Speech-Language Pathologist | 1034 N 500 W, Provo, UT 84604-3337 | 2019-11-06 |
| 1396393609 | Camille Stanley | Speech-Language Pathologist | 1034 N 500 W, Provo, UT 84604-3380 | 2019-08-29 |
| 1386292076 | Rebecca Harris | Occupational Therapist | 1034 N 500 W, Provo, UT 84604-3380 | 2019-08-27 |
| 1770139289 | Cameron Lee Tingey | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2019-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942615216 | Kesler Konnections | Rehabilitation Hospital | 10197 N 5750 W, Highland, UT 84003-9143 | 2014-06-25 |
| 1881120756 | Landmark Rehabilitation Hospital of Salt Lake City, LLC | Rehabilitation Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2017-05-11 |
| 1740683523 | Michelle Shumway | Rehabilitation Hospital | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2014-10-07 |
| 1053732024 | Northern Utah Rehabilitation Hospital LLC | Rehabilitation Hospital | 5825 Harrison Blvd, South Ogden, UT 84403-4316 | 2013-12-18 |
| 1124300256 | University of Utah Hospital | Rehabilitation Hospital | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-09-14 |
| 1932428711 | Patricia Marie Brown | Rehabilitation Hospital | 50 N Medical Dr, Slc, UT 84132-0001 | 2010-05-19 |
| 1528399573 | Meridian Rehabilitation Inc | Rehabilitation Hospital | 450 S 400 E, Bountiful, UT 84010-4938 | 2010-01-14 |
| 1861722266 | Shelley Lunsford | Rehabilitation Hospital | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2010-01-06 |
| 1023299591 | Pm&r Counseling | Rehabilitation Hospital | University Medical Center Pmr, 30 No. 1900 East, Salt Lake City, UT 84132-2119 | 2007-11-26 |
| 1285829051 | Petrina Lynn Medado | Rehabilitation Hospital | 6440 South Millrock Drive, Suite 175, Salt Lake City, UT 84121 | 2007-09-13 |
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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.