# VASLCHCS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336366913
- **Authorized official:** MISS ANDREA Y BAKER (REGISTERED NURSE)
- **Authorized official phone:** (801) 582-1565

## Contact information

- **Practice address:** 501 FOOTHILL BLVD, SLC, UT 84148-0001
- **Practice address phone:** (801) 582-1565
- **Mailing address:** 1732 N 2225 W, CLINTON, UT 84015-7980
- **Mailing address phone:** (801) 695-1189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 2239013102 | UT | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 08/22/2020