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PALLIATIVE CARE DEPARTMENT OF UNIVERSITY OF UTAH NPI 1336169887


NPI Information

NPI: 1336169887
Provider Name: PALLIATIVE CARE DEPARTMENT OF UNIVERSITY OF UTAH
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2121
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PALLIATIVE CARE DEPARTMENT OF UNIVERSITY OF UTAH is an internal medicine in Salt Lake City, UT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PALLIATIVE CARE DEPARTMENT OF UNIVERSITY OF UTAH NPI is 1336169887. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-2121

The provider's authorized official is Janell I Madonna .
The authorized official title is Director Of Contracting And Pe and has the following contact phone number (801) 587-6464.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 4/14/2009.


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
1363L00000XNurse PractitionerNo
2363LA2200XNurse PractitionerAdult HealthNo
3207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1807675700OTHERIDAHOMEDICAID MIDLEVEL
2807558100MEDICAIDIDAHO
3=========001MEDICAIDUTAH
4000059611MEDICARE PINUTAH
5100510230MEDICAIDNEVADA

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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