INTERMOUNTAIN PEDIATRIC CLINIC NPI 1740499433

NPI Information

  • NPI: 1740499433
  • Provider Name: INTERMOUNTAIN PEDIATRIC CLINIC
  • Classification: Pediatrics - 2080H0002X
  • Specialization: Hospice and Palliative Medicine
  • Entity Type: Organization
  • CLIA Number: 46D2320044
  • Address: 508 E SOUTH TEMPLE
    SUITE 310
    SALT LAKE CITY, UT
    ZIP 84102
  • Phone: (801) 355-4316

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NPI Details

INTERMOUNTAIN PEDIATRIC CLINIC is a hospice and palliative medicine pediatrics in Salt Lake City, UT. The provider is a pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. INTERMOUNTAIN PEDIATRIC CLINIC NPI is 1740499433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

508 E SOUTH TEMPLE
SUITE 310
SALT LAKE CITY, UT
ZIP 84102-013
Phone: (801) 355-4316
Fax: (801) 355-6267

The provider's authorized official is Susan Harris .
The authorized official title is Office Manager and has the following contact phone number (801) 355-4316.

The CLIA number assigned to this NPI record is 46D2320044 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/21/2007 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
12080H0002XPediatricsHospice and Palliative Medicine19920633UTAHYes

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: 11/21/2025

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