NPI Database
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Contact Information

U-U GASTROENTEROLOGY DIVISION
50 N MEDICAL DR
SALT LAKE CITY, UT84132-0001
 Phone: 801-581-7606
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for U-U GASTROENTEROLOGY DIVISION

NPI Number 1558394775
LBN Legal business name U-U GASTROENTEROLOGY DIVISION
Authorized official JANELL MADONNA - (DIRECTOR OF CONTRACTING AND PE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 04/14/2009 - About 17 years ago
Identifiers
ID Medicaid 805965000
NM Medicaid H9627
NV Medicaid 100502223
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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