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Contact Information

PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-662-5400
 Fax: 801-662-5404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH

NPI Number 1114096195
LBN Legal business name PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
Authorized official EDWARD CLARK - (DEPT CHAIR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 09/15/2009 - About 17 years ago
Identifiers
CO Medicaid 22001832
ID Medicaid 807148600
IN Medicaid 200817950A
NV Medicaid 100507101
OK Medicaid 200065910A
WY Medicaid 121313000
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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