| Organization Name: | CENTRAL VALLEY MEDICAL CENTER |
| NPI Number: | 1881658110 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK STODDARD (ADMINISTRATOR) |
| Mailing Address: | 48 W 1500 N Nephi |
| State: | UT US |
| Postal Code: | 846488900 |
| Phone Number: | 4356233000 |
| Fax Number: | 4356233123 |
| NPI Enumeration Date: | 04/13/2006 |
| NPI Last Update Date: | 12/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 2005-HOSP-171 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |