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Organization
JORDAN VALLEY MEDICAL CENTER LP
Active
Organization
JORDAN VALLEY MEDICAL CENTER LP
Active
Parent organization
JORDAN VALLEY MEDICAL CENTER LP
Organization subpart
Yes
Provider details
NPI number
Legal business name
JORDAN VALLEY MEDICAL CENTER LP
Authorized official
STEVEN M ANDERSON (HOSPITAL CEO)
(801) 561-8888
Entity
Organization
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
(801) 569-8723
Mailing address
3580 W 9000 S, ATTN: BILLING, WEST JORDAN, UT 84088-8812
(801) 561-8888
(801) 569-8723
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2008-HOSP-810
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103002113104
IHC SELECT HEALTH
—
01
—
103002113105
IHC SELECT HEALTH ER
—
01
—
213091
ALTIUS
—
01
—
95900
PEHP
—
Enumeration date
03/05/2008
Last updated
04/03/2018
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