MOUNTAIN DIVISION - CVH, LLC (NPI# 1952703472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952703472 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN DIVISION - CVH, LLC |
| Other Organization Name | CACHE VALLEY HOSPITAL |
| Practice Address |
2380 N 400 E North Logan UT 84341-6000 |
| Practice Telephone | 4357139700 |
| Practice Fax Number | 4357139589 |
| Mailing Telephone | 4357139700 |
| Mailing Fax Number | 4357139589 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | GREG ANGLE (DIVISION PRESIDENT) |
| Authorized Official Telephone | 8015685998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Cache Valley Hospital | Doing Business As Name - Organization |
| Street Address |
2380 N 400 E |
| City | NORTH LOGAN |
| State | UT |
| Zip Code | 84341-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731469 | Jeffrey Green Bennion | Otolaryngology | 2380 N 400 E, Suite #d, North Logan, UT 84341-1749 | 2005-09-23 |
| 1528438140 | Jamie Coy Grange | Physician Assistant | 2380 N 400 E, Suite D, North Logan, UT 84341-6000 | 2015-09-25 |
| 1245673946 | Ashley Anne Crum | Emergency Medicine | 2380 N 400 E, North Logan, UT 84341-6000 | 2013-04-11 |
| 1861731549 | Pauline Margaret Jonsson | Occupational Therapist | 2380 N 400 E, North Logan, UT 84341-6000 | 2013-01-31 |
| 1588969539 | Primary Care Pediatrics | Pediatrics | 2380 N 400 E, Suite C, North Logan, UT 84341-1756 | 2011-01-24 |
| 1922312420 | Jaclyn Castronova | Nurse Practitioner | 2380 N 400 E, Ste A, North Logan, UT 84341-6000 | 2010-07-27 |
| 1609195031 | University of Utah Cache Valley Emergency Medicine | Emergency Medicine | 2380 N 400 E, North Logan, UT 84341-6000 | 2010-05-25 |
| 1215250493 | Wood Wound Care, LLC | Surgery | 2380 N 400 E, Suite H, North Logan, UT 84341-6000 | 2010-03-02 |
| 1295996700 | Barrett Paul Labrum | Pediatrics | 2380 N 400 E, North Logan, UT 84341-1756 | 2008-06-18 |
| 1578746525 | Lindsay Dawn Humes | Physician Assistant | 2380 N 400 E, Suite#d, North Logan, UT 84341-1749 | 2007-12-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446563 | Cache Valley Specialty Hospital | General Acute Care Hospital | 2380 N 400 E, North Logan, UT 84341-1749 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1487139994 | Private Healthcare Facilities | General Acute Care Hospital | 394 W Main St Ste 206, Lehi, UT 84043-2078 | 2018-10-01 |
| 1114451622 | Tracy Albers | General Acute Care Hospital | 844 S 800 E, Salt Lake City, UT 84102-3516 | 2017-04-12 |
| 1053854851 | Utah Emergnecy Physicians | General Acute Care Hospital | 2795 Foothill Dr, Ogden, UT 84403-0529 | 2016-11-28 |
| 1790236446 | Intermountain Healthcare | General Acute Care Hospital | 821 Edgewood Dr, Ogden, UT 84403-4233 | 2016-10-18 |
| 1184172249 | Intermountain | General Acute Care Hospital | 86 W 975 N, Hurricane, UT 84737-1735 | 2016-09-19 |
| 1720445307 | Intermountain Healthcare | General Acute Care Hospital | 884 Black Rock Dr, Santa Clara, UT 84765-5440 | 2016-01-27 |
| 1205215076 | University of Utah | General Acute Care Hospital | 30 N 1900 E # 4a100, Salt Lake City, UT 84132-0002 | 2015-05-26 |
| 1720470974 | Jordan Valley Medical Center Lp | General Acute Care Hospital | 3000 N. Triumph Boulevard, Lehi, UT 84043-4999 | 2015-02-25 |
| 1962745786 | Univeristy of Utah | General Acute Care Hospital | University of Utah Hospitals & Clinics, 1c412 University Medical Center 30 North 1900 East, Salt Lake City, UT 84132-2155 | 2013-03-29 |
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| City | NORTH LOGAN |
| Zip Code | 84341 |
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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.