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Contact Information

MATTHEW S ADAMS, CRNA
1954 FORT UNION BLVD STE 114
SALT LAKE CITY, UT84121-6899
 Phone: 800-594-5736
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MATTHEW S ADAMS · (Male)

NPI # 1013013838
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 09/16/2006
Last updated 09/24/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 277906-4406
  • UT Other QM0000054865 ALTIUS
  • UT Other 27760944000001 BCBS
  • UT Other 774664 DESERET MUTUAL
  • UT Other 870666269MAT EDUCATORS MUTUAL
  • UT Other 79200 HEALTHY U
  • UT Other 107013910101 IHC
  • UT Other TPRA06823 MOLINA
  • UT Other 70918 PEHP
  • UT Other 190683600 US DEPT OF LABOR
Hospital affiliation(s)
  • BEAR RIVER VALLEY HOSPITAL - (Acute Care)
    905 NORTH 1000 WEST
    TREMONTON, UT 84337
  • LOGAN REGIONAL HOSPITAL - (Acute Care)
    500 EAST 1400 NORTH
    LOGAN, UT 84341
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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