RONALD MCDONALD HOUSE OF THE INTERMOUNTAIN AREA NPI 1326680869

NPI Information

NPI: 1326680869
Provider Name: RONALD MCDONALD HOUSE OF THE INTERMOUNTAIN AREA
Classification: Lodging - 177F00000X
Entity Type: Organization

CLIA Number: 46D2197509

Address:
935 E. SOUTH TEMPLE
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 363-4663
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RONALD MCDONALD HOUSE OF THE INTERMOUNTAIN AREA is a lodging in Salt Lake City, UT. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. RONALD MCDONALD HOUSE OF THE INTERMOUNTAIN AREA NPI is 1326680869. The provider is registered as an organization entity type.

The provider's business location address is:

935 E. SOUTH TEMPLE
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 363-4663

The provider's authorized official is Carrie A Romano .
The authorized official title is Ceo and has the following contact phone number (801) 363-4663.

The CLIA number assigned to this NPI record is 46D2197509 - other - pediatric patient lodging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 10/16/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	174200000X	Meals	No
2	251V00000X	Voluntary or Charitable	No
3	177F00000X	Lodging	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	144353400	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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