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Contact Information

UNIVERSITY OF UTAH PEDIATRIC SERVICES
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
 Phone: 801-587-6336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI # 1386006245
LBN Legal business name UNIVERSITY OF UTAH PEDIATRIC SERVICES
Authorized official SAMUEL FINLAYSON - (CHIEF CLINICAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/22/2016
Last updated 01/22/2021 - About 5 years ago
Identifiers n/a
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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