Organization · Type 2 NPI

Northern Utah Healthcare Corporation

Emergency Care Clinic/Center · West Valley, UT

NPI number 1174465488 Active

Practice location

5668 Brud Dr
West Valley, UT 84128-6909

Specialties and licenses

Taxonomy	Code	License
Emergency Care Clinic/Center Primary	261QE0002X	None listed

Emergency Care Clinic/Center: Definition to come...

NPI record

NPI: 1174465488
Entity type: Organization (Type 2)
Issued: Apr 7, 2026
Last updated: Apr 7, 2026
Status: Active
Subpart: Yes of Northern Utah Healthcare Corporation

Other names

ST Mark's Hospital West Valley Emergency Care · doing business as

Authorized official

Matthew Steven Hasbrouck
CEO
(615) 792-6123

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174465488

Northern Utah Healthcare Corporation's National Provider Identifier is 1174465488, issued on Apr 7, 2026. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in West Valley, UT. The record was last updated on Apr 7, 2026.