Organization · Type 2 NPI

Northern Utah Healthcare Corporation

Clinic/Center · Cottonwood Heights, UT

NPI number 1952233223 Active

Practice location

1275 E Fort Union Blvd Ste 150
Cottonwood Heights, UT 84047-1897

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1952233223
Entity type: Organization (Type 2)
Issued: Jun 1, 2026
Last updated: Jun 1, 2026
Status: Active
Subpart: Yes of Northern Utah Healthcare Corporation

Other names

St. Mark's Hospital Senior Health Center · doing business as

Authorized official

Braden Tibbitts
CFO
(801) 465-7107

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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 1952233223

Northern Utah Healthcare Corporation's National Provider Identifier is 1952233223, issued on Jun 1, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Cottonwood Heights, UT. The record was last updated on Jun 1, 2026.