South Valley Health Center, Llc

LBN: South Valley Health Center, Llc
South Valley Health Center, Llc is an health care organization with primary practice located at 3706 W 9000 S , West Jordan UT 84088-8813. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. South Valley Health Center, Llc can be contacted via phone (801) 280-2273, or through Johnson, Craig R via phone (801) 268-1122.

Contact Information

Primary practice address
3706 W 9000 S West Jordan UT 84088-8813
Phone: (801) 280-2273
Fax: (801) 280-2285
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Craig R
Phone: (801) 268-1122

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2005-NCF-83 Utah
Suppliers / Nursing Facility Supplies 332BN1400X 2007-NCF-83 Utah
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 2007-NCF-83 Utah

Profile Details

NPI number 1780638759
LBN Legal business name South Valley Health Center, Llc
DBA Doing business as
Authorized official Johnson, Craig R
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Jan 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780638759 NPPES
Utah MEDICAID 870439756007

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