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Organization
JORDAN VALLEY MEDICAL CENTER LP
Active
Organization
JORDAN VALLEY MEDICAL CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M ANDERSON (HOSPITAL CEO)
(801) 964-3800
Entity
Organization
Contact information
Practice address
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120-2049
(801) 964-3122
(801) 964-3112
Mailing address
3460 S PIONEER PKWY, ATTN: BILLING, WEST VALLEY CITY, UT 84120-2049
(801) 964-3100
(801) 964-3247
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2005HOSP811
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103002113104
IHC SELECT HEALTH
—
01
—
103002113105
IHC SELECT HEALTH ER
—
01
—
310486
ALTIUS
UT
01
—
95900
PEHP
—
Enumeration date
07/11/2005
Last updated
04/04/2018
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