INTERMOUNTAIN HEALTHCARE is a children general acute care hospital in Salt Lake City, UT. INTERMOUNTAIN HEALTHCARE NPI is 1790230860. The provider is registered as an organization entity type.
The provider's business location address is:
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-5318
The provider's authorized official is Heidi Nicole Bagley .
The authorized official title is Clinical Dietitian and has the following contact phone number (801) 662-5318.
The CLIA number assigned to this NPI record is 46D0959710 - mobile laboratory with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 8/18/2016 and was last updated on 8/18/2016.