# INTERMOUNTAIN SENIOR CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982958641
- **Legal business name:** INTERMOUNTAIN HEALTHCARE
- **Authorized official:** KAY SUE SIMONS MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (801) 314-4550

## Contact information

- **Practice address:** 5770 S 250E SUITE 210, MURRAY, UT 84107
- **Practice address phone:** (801) 314-4544
- **Practice address fax:** (801) 314-4565
- **Mailing address:** 5770 S 250E SUITE 210, MURRAY, UT 84107
- **Mailing address phone:** (801) 314-4544
- **Mailing address fax:** (801) 314-4565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6262134-3501 | UT | Yes |

## Other

- **Enumeration date:** 11/02/2012
- **Last updated:** 11/02/2012