# JORDAN VALLEY MEDICAL CENTER LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JORDAN VALLEY MEDICAL CENTER LP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144490160
- **Legal business name:** JORDAN VALLEY MEDICAL CENTER LP
- **Authorized official:** STEVEN M ANDERSON (HOSPITAL CEO)
- **Authorized official phone:** (801) 561-8888

## Contact information

- **Practice address:** 3580 W 9000 S, WEST JORDAN, UT 84088-8812
- **Practice address phone:** (801) 561-8888
- **Practice address fax:** (801) 569-8723
- **Mailing address:** 3580 W 9000 S, ATTN: BILLING, WEST JORDAN, UT 84088-8812
- **Mailing address phone:** (801) 561-8888
- **Mailing address fax:** (801) 569-8723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 2008-HOSP-810 | UT | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 04/03/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 103002113104 | IHC SELECT HEALTH | — |
| 01 | — | 103002113105 | IHC SELECT HEALTH ER | — |
| 01 | — | 213091 | ALTIUS | — |
| 01 | — | 95900 | PEHP | — |