Provider Demographics
NPI:1942296223
Name:ST. MARKS TRANSITIONAL CARE CENTER
Entity Type:Organization
Organization Name:ST. MARKS TRANSITIONAL CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR TCC
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, HFA
Authorized Official - Phone:801-268-7500
Mailing Address - Street 1:1200 E 3900 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1300
Mailing Address - Country:US
Mailing Address - Phone:801-268-7500
Mailing Address - Fax:801-270-3370
Practice Address - Street 1:1200 E 3900 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124
Practice Address - Country:US
Practice Address - Phone:801-268-7500
Practice Address - Fax:801-270-3370
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN UTAH HEALTH CARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-22
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTUT0083OtherUTAH FACILITY ID
UTUT0083OtherUTAH FACILITY ID