| Organization Name: | TOOELE HOSPITAL CORPORATION INC |
| NPI Number: | 1013107838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL PORTACCI (PRESIDENT) |
| Mailing Address: | 2055 N Main St Tooele |
| State: | UT US |
| Postal Code: | 840749819 |
| Phone Number: | 4358433600 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |