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INTERMOUNTAIN PAIN CENTER NPI 1194822080


NPI Information

NPI: 1194822080
Provider Name: INTERMOUNTAIN PAIN CENTER
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization

CLIA Number: 46D1095612

Address:
5770 S 250 E
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 314-4438
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INTERMOUNTAIN PAIN CENTER is a neuromusculoskeletal medicine omm in Salt Lake City, UT. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. INTERMOUNTAIN PAIN CENTER NPI is 1194822080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5770 S 250 E
SALT LAKE CITY, UT
ZIP 84107-100
Phone: (801) 314-4438

The provider's authorized official is Christopher T Caldwell .
The authorized official title is Authorized Official and has the following contact phone number (801) 314-4430.

The CLIA number assigned to this NPI record is 46D1095612 - other - instacare with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


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
1204D00000XNeuromusculoskeletal Medicine & OMMYes
2207LP2900XAnesthesiologyPain MedicineX

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

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