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AIS Patient Source & Destination Codes


Following are the codes used for prehospital incident reporting of both Patient Source and Destination.

CodeDescription
005Scene
010Other Transporting Unit
025Doctor's Office
030Free Standing Clinic
035HMO/FHP
040Home
045Long Term Facility/Nursing Home
050Mental Health Facility
055Mortuary Facility
060Other Facility
065Out of State Facility
070Police/Jail Facility
075Airport
080Diagnostic/Scan Facility
085State Medical Examiner
090Surgical Center
135Bear River Valley Hospital
140Brigham City Community Hospital
145Humana Hospital Davis North
150Lakeview Hospital
155Logan Regional Medical Center
160McKay-Dee Hospital Center
165Ogden Regional Medical Center
170Tooele Valley Hospital
175Hill AFB Hospital
180Cache Valley Specialty Hospital
220Alta View Hospital
225Cottonwood Hospital
230Salt Lake Regional Medical Center (formerly Holy Cross Hospital)
235Jordan Valley Hospital (formerly Holy Cross Hospital—Jordan Valley)
240LDS Hospital
245Pioneer Valley Hospital
250Primary Children's Medical Center
255Shriner's Children Hospital
260St Mark's Hospital
265University of Utah Medical Center
270Veteran's Administration Hospital
275The Orthopedic Specialty Hospital (TOSH)
290Intermountain Medical Center
330American Fork Hospital
335Ashley Valley Medical Center
340Castleview Hospital
345Duchesne County Hospital
350Mountain View Hospital
355Orem Community Hospital
360Utah Valley Regional Medical Center
365Heber Valley Medical Center (formerly Wasatch County Hospital)
370Timpanogos Regional Hospital
440Fillmore Community Medical Center
445Gunnison Valley Hospital
450Central Valley Medical Center
455Sanpete Hospital
460Sevier Valley Hospital
465Delta Community Medical Center
530Allen Memorial Hospital
535Beaver Valley Hospital
540Dixie Medical Center
545Garfield Memorial Hospital
550Kane County Hospital
555Milford Valley Memorial Hospital
560Monument Valley Hospital
565San Juan Hospital
570Valley View Medical Center

Updated December 11, 2008