NORTHERN UTAH HEALTHCARE CORPORATION (NPI# 1972879609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972879609 |
Entity Type | Organization |
Organization Name | NORTHERN UTAH HEALTHCARE CORPORATION |
Other Organization Name | ST. MARK'S HOSPITAL |
Practice Address |
1200 E 3900 S Salt Lake City UT 84124-1300 |
Practice Telephone | 8012687700 |
Practice Fax Number | 8012703489 |
Mailing Telephone | 8012687700 |
Mailing Fax Number | 8012703489 |
Enumeration Date | 2012-03-27 |
Last Update Date | 2016-06-28 |
Authorized Official Name | MICHAEL L. HERRON (CFO) |
Authorized Official Telephone | 8012687092 |
Is Organization Subpart | Y |
Parent Organization Name | NORTHERN UTAH HEALTHCARE CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
Other Name | Type Code |
---|---|
St. Mark's Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093752180 | Northern Utah Healthcare Corporation | General Acute Care Hospital | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2006-05-31 |
1902843097 | Northern Utah Healthcare Corporation | General Acute Care Hospital | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2006-05-31 |
1912944091 | Northern Utah Healthcare Corporation | General Acute Care Hospital | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2006-05-31 |
Street Address |
1200 E 3900 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84124-1300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386641249 | Samir N Wadhvania | Internal Medicine | 1200 E 3900 S, Suite 4b, Salt Lake City, UT 84124-1300 | 2005-07-06 |
1346847456 | Amanda Marie Robinson | Social Worker | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2020-10-02 |
1467081786 | Katherine Rogers | Physical Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2020-04-07 |
1972163368 | Carepoint Inpatient Blue Sky Neurology Utah, Pllc | Psychiatry & Neurology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-18 |
1023596632 | Elizabeth Ann Lockwood | Physical Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2018-08-06 |
1073037941 | Melanie Steere | Dietitian, Registered | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-08-01 |
1003337585 | Mark Powell | Occupational Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-07-05 |
1932650207 | Jennifer Miller | Registered Nurse | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-10-20 |
1154775062 | Alex Nelson Knight | Anesthesiology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-17 |
1437512662 | Salt Lake Trauma Specialists Pllc | Surgery | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
Find all providers in zip 84124 |
Taxonomy Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
Notes: Source: Code of Federal Regulations #42, Section 412.29. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629331541 | James Gardner | Rehabilitation Unit | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2012-06-18 |
1386728665 | Salt Lake Regional Medical Center Lp | Rehabilitation Unit | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962949966 | Spirit Mountain Behavioral Health Services | Rehabilitation Unit | 5145 Airport Rd, Roy, UT 84067-3693 | 2017-01-27 |
1508110040 | Uintah Basin Spine and Disc Center, PC | Rehabilitation Unit | 1151 East Highway 40, Roosevelt, UT 84066 | 2012-11-06 |
1144490160 | Jordan Valley Medical Center Lp | Rehabilitation Unit | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2008-03-05 |
1811037484 | Davis Hospital & Medical Center Lp | Rehabilitation Unit | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2007-02-06 |
1043220650 | Ihc Health Services Inc | Rehabilitation Unit | 5121 Cottonwood St, Murray, UT 84107-5701 | 2006-08-08 |
1144270919 | Ihc Health Services, Inc | Rehabilitation Unit | 1034 N 500 W, Provo, UT 84604-3380 | 2006-05-11 |
City | SALT LAKE CITY |
Zip Code | 84124 |
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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.