Organization
CENTRAL VALLEY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STODDARD (ADMINISTRATOR)
(435) 623-3000
Entity
Organization
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3000
(435) 623-3123
Mailing address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3000
(435) 623-3123
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2005-HOSP-171
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000887008
—
UT
Enumeration date
04/13/2006
Last updated
12/14/2011
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