SLC VA MEDICAL CENTER NPI 1023306297

NPI Information

SLC VA MEDICAL CENTER is a special hospital in Salt Lake City, UT. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. SLC VA MEDICAL CENTER NPI is 1023306297. The provider is registered as an organization entity type.

The provider's business location address is:

500 FOOTHILL DRIVE
SALT LAKE CITY, UT
ZIP 84148
Phone: (801) 582-1565

The provider's authorized official is Tracy W Dustin .
The authorized official title is Case Manager and has the following contact phone number (801) 582-1565.

The enumeration date for this NPI number is 7/21/2011 and was last updated on 7/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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