ST. MARK'S HOSPITAL; NPI #1164469243
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Contact Information

ST. MARK'S HOSPITAL
LBN NORTHERN UTAH HEALTHCARE CORPORATION
1200 E 3900 S
SALT LAKE CITY, UT84124-1300
 Phone: 801-268-7111
 Fax: 801-270-3489
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for ST. MARK'S HOSPITAL

NPI Number 1164469243
LBN Legal business name NORTHERN UTAH HEALTHCARE CORPORATION
DBA Doing business as ST. MARK'S HOSPITAL
Authorized official MICHAEL HERRON - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2006
Last updated 02/07/2022 - About 2 years ago
Identifiers
AK Medicaid HS9UT
AZ Medicaid 477829
CA Medicaid XHSP33137
ID Medicaid 805001700
MT Medicaid 0410907
NV Medicaid 1189157
OR Medicaid 292841
TX Medicaid 158945901
WA Medicaid 3021219
WY Medicaid 112938400
UT Other 62133082902001 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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