OrganizationActive
Intermountain Healthcare
NPI 1356618755 · General Acute Care Hospital · Provo, UT
Provider details
- NPI number
- 1356618755
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Neil Whitaker, Medical Director(801) 357-2549
- License
- 52296918900 (UT)
Specialties & taxonomies
Hospitals
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-8117
Approximate (ZIP-level) locationGet directions
Mailing address
1034 N 500 W
Provo, UT 84604-3380
Registry dates
- Enumerated
- 2011-11-30
- Last updated
- 2011-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.