PRIMARY CHILDREN'S MEDICAL CENTER NPI 1710162755

NPI Information

PRIMARY CHILDREN'S MEDICAL CENTER is a children general acute care hospital in Salt Lake City, UT. PRIMARY CHILDREN'S MEDICAL CENTER NPI is 1710162755. The provider is registered as an organization entity type.

The provider's business location address is:

100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-2840
Fax: (801) 662-2868

The provider's authorized official is Elizabeth K Cho .
The authorized official title is Nurse Practitioner and has the following contact phone number (801) 662-2840.

The CLIA number assigned to this NPI record is 46D0524103 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/9/2008.

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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