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NPI 1629129689

OrganizationActive

Subtenant 1430 East 4500 South LLC

NPI 1629129689 · Psychiatric Hospital · Salt Lake City, UT

Provider details

NPI number: 1629129689
Entity type: Organization
Primary specialty: Psychiatric HospitalHospitals
Authorized official: Thomas Croal, Svp & Cfo

Practice location

1430 East 4500 South

Salt Lake City, UT 84117-4208

Phone: (801) 272-8000

Fax: (801) 272-4983

More UT providers

Mailing address

6400 Oak Canyon

Irvine, CA 92618-5233

Registry dates

Enumerated: 2007-01-16
Last updated: 2016-07-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Subtenant 1430 East 4500 South LLC — NPI 1629129689, Salt Lake City, UT | NPI Central