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CITY CREEK MEDICAL SPECIALISTS INC NPI 1134393499


NPI Information

NPI: 1134393499
Provider Name: CITY CREEK MEDICAL SPECIALISTS, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
UNIV OF UTAH MEDICAL HOSPITAL 50 NORTH DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2121
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CITY CREEK MEDICAL SPECIALISTS, INC is a specialist in Salt Lake City, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CITY CREEK MEDICAL SPECIALISTS, INC NPI is 1134393499. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

UNIV OF UTAH MEDICAL HOSPITAL 50 NORTH DR
SALT LAKE CITY, UT
ZIP 84132-853
Phone: (801) 581-2121
Fax: (801) 408-3598

The provider's authorized official is Ann Jefferds .
The authorized official title is President and has the following contact phone number (801) 408-5151.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist56382771205UTAHNo
2174400000XSpecialist1737701205UTAHNo
3174400000XSpecialist5740231205UTAHNo
4174400000XSpecialist1816141205UTAHYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.