INTERMOUNTAIN HEALTHCARE NPI 1790230860

NPI Information

  • NPI: 1790230860
  • Provider Name: INTERMOUNTAIN HEALTHCARE
  • Classification: General Acute Care Hospital - 282NC2000X
  • Specialization: Children
  • Entity Type: Organization
  • CLIA Number: 46D0959710
  • Address: 100 N MARIO CAPECCHI DR
    SALT LAKE CITY, UT
    ZIP 84113
  • Phone: (801) 662-5318

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NPI Details

INTERMOUNTAIN HEALTHCARE is a children general acute care hospital in Salt Lake City, UT. INTERMOUNTAIN HEALTHCARE NPI is 1790230860. The provider is registered as an organization entity type.

The provider's business location address is:

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-5318

The provider's authorized official is Heidi Nicole Bagley .
The authorized official title is Clinical Dietitian and has the following contact phone number (801) 662-5318.

The CLIA number assigned to this NPI record is 46D0959710 - mobile laboratory with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 8/18/2016.

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
1282NC2000XGeneral Acute Care HospitalChildren78229114901UTAHYes

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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