INTERMOUNTAIN HEALTHCARE (NPI# 1760732507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760732507 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN HEALTHCARE |
| Other Organization Name | PRIMARY CHILDREN'S MEDICAL CENTER |
| Practice Address |
5770 S 1500 W Bldg C Taylorsville UT 84123-5216 |
| Mailing Address |
5770 S 1500 W Bldg C Taylorsville UT 84123 |
| Practice Telephone | 8013137800 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | TAMMER ATTALLAH (PSYCHIATRIC PROGRAM ADMIN DIRECTOR) |
| Authorized Official Telephone | 8013137703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 4968440-2501 | UT | Hospital Units |
| Other Name | Type Code |
|---|---|
| Primary Children's 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 |
| 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 |
5770 S 1500 W BLDG C |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568775864 | Robert Lee Bahr | Social Worker | 5770 S 1500 W Bldg C, Taylorsville, UT 84123-5216 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346595519 | University Neuropsychiatric Institute | Psychiatric Unit | 721 W Sunny River Rd Apt 438, Taylorsville, UT 84123-2847 | 2012-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376822833 | Nexstep Medical Detox LLC. | Psychiatric Unit | 1371 E 750 N, Orem, UT 84097-5480 | 2011-08-15 |
| 1356630354 | Utah Refugee Health Clinic | Psychiatric Unit | 676 East Vine Street, Suite 5, Salt Lake City, UT 84107-5514 | 2011-03-31 |
| 1144526997 | Successor Healthcare LLC | Psychiatric Unit | 451 East Bishop Federal Lane, Salt Lake City, UT 84115-2357 | 2011-01-26 |
| 1053638031 | D. B. Tug Wagstaff, Lpc | Psychiatric Unit | 1021 E 70 N, American Fork, UT 84003-2914 | 2010-04-29 |
| 1497709471 | Hospital Corporation of Utah | Psychiatric Unit | 630 E Medical Dr, 2nd Floor East Wing, Bountiful, UT 84010-4908 | 2006-05-22 |
| 1174031421 | Co-psyche LLC | Psychiatric Unit | 1000 E 100 N, Payson, UT 84651-1600 | 2018-01-19 |
| 1609211333 | Mountain View Hospital, Inc. | Psychiatric Unit | 1000 E 100 N, Payson, UT 84651-1600 | 2013-05-08 |
| 1457794323 | Northern Utah Health Care Corporation | Psychiatric Unit | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2013-04-10 |
| 1588929426 | Utah Neuropsychiatric Institute | Psychiatric Unit | 501 E Chipeta Way, Salt Lake City, UT 84108-1222 | 2012-07-06 |
| 1396036695 | Jordan Valley Medical Center Lp | Psychiatric Unit | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
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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.