# CENTRAL VALLEY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Valley Medical Center Swing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851416838
- **Authorized official:** MR. MARK STODDARD (ADMINISTRATOR)
- **Authorized official phone:** (435) 623-3000

## Contact information

- **Practice address:** 48 W 1500 N, NEPHI, UT 84648-8900
- **Practice address phone:** (435) 623-3000
- **Practice address fax:** (435) 623-3123
- **Mailing address:** 48 W 1500 N, PO BOX 412, NEPHI, UT 84648-8900
- **Mailing address phone:** (435) 623-3000
- **Mailing address fax:** (435) 623-3123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 2005-HOSP-171 | UT | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 12/14/2011