BRAIN INJURY ASSOCIATION OF UTAH NPI 1326105198

NPI Information

NPI: 1326105198
Provider Name: BRAIN INJURY ASSOCIATION OF UTAH
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
1800 S WEST TEMPLE
SUITE 203
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 484-2240
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BRAIN INJURY ASSOCIATION OF UTAH is a voluntary or charitable in Salt Lake City, UT. BRAIN INJURY ASSOCIATION OF UTAH NPI is 1326105198. The provider is registered as an organization entity type.

The provider's business location address is:

1800 S WEST TEMPLE
SUITE 203
SALT LAKE CITY, UT
ZIP 84115-851
Phone: (801) 484-2240
Fax: (801) 484-5932

The provider's authorized official is Ron S. Roskos .
The authorized official title is Executive Director and has the following contact phone number (801) 484-2240.

The enumeration date for this NPI number is 1/2/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		N10744	UTAH	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	2935	MEDICAID	UTAH

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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