INTERMOUNTAIN HEALTHCARE NPI 1154508653

NPI Information

INTERMOUNTAIN HEALTHCARE is a children general acute care hospital in Salt Lake City, UT. INTERMOUNTAIN HEALTHCARE NPI is 1154508653. The provider is registered as an organization entity type.
The provider Other Name Is Primary Children's Medical Center.

The provider's business location address is:

100 N MEDICAL DR
PCMC
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-2442
Fax: (801) 662-2469

The provider's authorized official is Donald Vernon .
The authorized official title is Medical Director, Ped Crit Care and has the following contact phone number (801) 662-2427.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 1/28/2008.

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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