Basic Information
| Provider Information | |||||||||
| NPI: | 1720470974 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JORDAN VALLEY MEDICAL CENTER LP | ||||||||
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| OtherOrganizationName: | MOUNTAIN POINT MEDICAL CENTER, A CAMPUS OF JORDAN VALLEY MEDICAL CENTE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 N TRIUMPH BLVD | ||||||||
| Address2: | ATTN: BILLING | ||||||||
| City: | LEHI | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840434999 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3853453000 | ||||||||
| FaxNumber: | 3853453313 | ||||||||
| Practice Location | |||||||||
| Address1: | 3000 N. TRIUMPH BOULEVARD | ||||||||
| Address2: | |||||||||
| City: | LEHI | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840434999 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3853453000 | ||||||||
| FaxNumber: | 8017689552 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/25/2015 | ||||||||
| LastUpdateDate: | 04/04/2018 | ||||||||
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| AuthorizedOfficialLastName: | ANDERSON | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | HOSPITAL CEO | ||||||||
| AuthorizedOfficialTelephone: | 8016366597 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.