OrganizationActive
Intermountain Healthcare
NPI 1720445307 · General Acute Care Hospital · Santa Clara, UT
Provider details
- NPI number
- 1720445307
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Elisa Edwards, Family Nurse Practitioner(435) 313-6330
- License
- 6078476-4405 (UT)
Specialties & taxonomies
Hospitals
Practice location
884 Black Rock Dr
Santa Clara, UT 84765-5440
Phone: (435) 313-6330
Approximate (ZIP-level) locationGet directions
Mailing address
884 Black Rock Dr
Santa Clara, UT 84765-5440
Registry dates
- Enumerated
- 2016-01-27
- Last updated
- 2016-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.