UTAH OUTPATIENT PULMONARY REHAB LLC NPI 1538411293

NPI Information

NPI: 1538411293
Provider Name: UTAH OUTPATIENT PULMONARY REHAB, LLC

Doing Business As: JORDAN VALLEY PULMONARY REHAB

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
8785 S JORDAN VALLEY WAY
STE 2
WEST JORDAN, UT
ZIP 84088
Phone: (801) 890-7779
Get Directions

UTAH OUTPATIENT PULMONARY REHAB, LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in West Jordan, UT. UTAH OUTPATIENT PULMONARY REHAB, LLC NPI is 1538411293. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jordan Valley Pulmonary Rehab.

The provider's business location address is:

8785 S JORDAN VALLEY WAY
STE 2
WEST JORDAN, UT
ZIP 84088-772
Phone: (801) 890-7779
Fax: (801) 821-4556

The provider's authorized official is Brett Thompson .
The authorized official title is Administrator and has the following contact phone number (801) 706-2964.

The enumeration date for this NPI number is 10/5/2012 and was last updated on 4/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2278P1005X	Respiratory Therapist, Certified	Pulmonary Rehabilitation			No
2	1041C0700X	Social Worker	Clinical			No
3	225400000X	Rehabilitation Practitioner				No
4	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	84318600160	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	464507	MEDICARE OSCAR/CERTIFICATION	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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