TOOELE HOSPITAL CORPORATION (NPI# 1730233735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730233735 |
| Entity Type | Organization |
| Organization Name | TOOELE HOSPITAL CORPORATION |
| Other Organization Name | MOUNTAIN WEST WORX |
| Practice Address |
2055 N Main St Tooele UT 84074-9819 |
| Practice Telephone | 4358433677 |
| Practice Fax Number | 4358339844 |
| Mailing Telephone | 4358433677 |
| Mailing Fax Number | 4358339844 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | DANIEL L. MARTIN (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 4358433677 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
347246-1206 | UT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DEA NUMBER | MM0429440 | 01 |
| Other Name | Type Code |
|---|---|
| Mountain West Worx | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013107838 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-27 |
| 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 |
| 1013107838 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-27 |
| 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 |
| 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 | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013107838 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-27 |
Please comment or provide details below to improve the information on TOOELE HOSPITAL CORPORATION.
| 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.