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Contact Information

U U CARDIOLOGY DIVISION SCHOOL OF MEDICINE
50 N MEDICAL DR
SALT LAKE CITY, UT84132-0001
 Phone: 801-581-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for U U CARDIOLOGY DIVISION SCHOOL OF MEDICINE

NPI Number 1952330813
LBN Legal business name U U CARDIOLOGY DIVISION SCHOOL OF MEDICINE
Authorized official JANELL MADONNA - (DIRECTOR OF CONTRACTING AND PE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2006
Last updated 04/14/2009 - About 17 years ago
Identifiers
ID Medicaid 805951400
ID Medicaid 807289000
NM Medicaid H9691
NV Medicaid 100502131
UT Medicaid 876000525271
WY Medicaid 122305400
WY Medicaid 122305401
Other 190225100 DEPARTMENT OF LABOR
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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