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Subtenant 1430 East 4500 South LLC

Psychiatric Hospital in Salt Lake City, UT · enumerated 2007 · authorized official Thomas Croal, Svp & Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629129689

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Registry record

Entity type Organization (Type 2)
Legal business name Subtenant 1430 East 4500 South LLC
Other name <Unavail>
Practice address 1430 East 4500 South, Salt Lake City, UT, 84117
Fax (801) 272-4983
Enumeration date Jan 16, 2007
Last updated in NPPES Jul 26, 2016

Taxonomy & classification

283Q00000X Psychiatric Hospital Hospitals · License 2011-HOSP-100053 (UT) Primary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Secondary

Authorized official

Name Thomas Croal
Title Svp & Cfo

Other identifiers

Identifier Type State Issuer
911982083003 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-07-26. Verify at npiregistry.cms.hhs.gov.
Where is Subtenant 1430 East 4500 South LLC located?
The practice location on file with NPPES is in Salt Lake City, UT.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-26.