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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VA SALT LAKE CITY HEALTH CARE SYSTEM
NPI 1063322337
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since September 09, 2026CLIA 46D0987846 · Accreditation
500 FOOTHILL DR, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Va Salt Lake City Health Care System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VA SALT LAKE CITY HEALTH CARE SYSTEM (NPI 1063322337) is a healthcare organization registered as a student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since September 2026. The organization holds an CLIA Accreditation certificate valid through May 22, 2032 and lists Satish Annadata, Chief Of Staff, as its authorized official.

NPPES Registry Identity

NPI1063322337
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameVA SALT LAKE CITY HEALTH CARE SYSTEM
Location Address500 FOOTHILL DRSalt Lake City, UT 84148-0001
Mailing Address500 Foothill DrSalt Lake City, UT 84148-0001 · (801) 582-1565
Phone(801) 582-1565
Organization SubpartNo
Authorized OfficialSatish AnnadataChief Of Staff · (801) 582-1565
Enumeration DateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
✔ NPI 1063322337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 FOOTHILL DR, Salt Lake City, UT 84148
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 46D0987846

VA Salt Lake City Hcs · Salt Lake City, UT
Active · expires May 22, 2032
CLIA Number46D0987846
Laboratory TypeHospital
Certificate Effective DateJune 14, 2001
Certificate Expiration DateMay 22, 2032
Laboratory DirectorKane Walsh
Laboratory Phone(801) 584-1261
Laboratory LocationVA Salt Lake City Hcs500 Foothill Dr Bldg 14 1st Fl A&b, Salt Lake City, UT 84148
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUNTER BULLOCK MLS(ASCP)
Technician, Pathology (Medical Laboratory)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
NICOLAS HORTENSI
Student in an Organized Health Care Education/Training Program
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MALLORY SPEAKMAN
Registered Nurse
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
FAITH FUENTES FNP-BC
Nurse Practitioner (Family)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 891-8638
MR. MICHAEL THOMAS STEVENSON LCSW
Social Worker (Clinical)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. LAWRENCE DIXON APRN
Nurse Practitioner (Gerontology)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
THOMAS ALAN GOOD LANCE WHITE BULL CPHT
Pharmacy Technician
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
CLAYTON HAMILTON PHARMD
Pharmacist
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (406) 270-7185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is VA Salt Lake City Health Care System's NPI number?

The NPI number for VA Salt Lake City Health Care System is 1063322337. It was assigned to this organization in the NPPES registry on September 9, 2026.

Where is VA Salt Lake City Health Care System located?

VA Salt Lake City Health Care System is located at 500 Foothill Dr, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is VA Salt Lake City Health Care System's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Does VA Salt Lake City Health Care System hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 46D0987846) is associated with this NPI, valid through May 22, 2032. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for VA Salt Lake City Health Care System was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.