| Organization Name: | CENTRAL VALLEY MEDICAL CENTER |
| NPI Number: | 1952452658 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAUNA L. ARCHIBALD (EXECUTIVE DIRECTOR) |
| Mailing Address: | 152 West 1500 North Nephi |
| State: | UT US |
| Postal Code: | 84648 |
| Phone Number: | 4356233050 |
| Fax Number: | 4356233059 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 10/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 461526 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |