Organization
TOOELE HOSPITAL CORPORATION
Active
Other names
Mountain West PT
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS/AO)
(615) 221-3840
Entity
Organization
Contact information
Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3600
Mailing address
PO BOX 847226, DALLAS, TX 75284-7226
(435) 843-3600
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
2500-HOSP-14233
UT
261QP2000X
Physical Therapy Clinic/Center
Primary
2500-HOSP-14233
UT
261QX0100X
Occupational Medicine Clinic/Center
2500-HOSP-14233
UT
Other
Enumeration date
07/27/2007
Last updated
09/30/2020
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