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Contact Information

PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH
100 N MEDICAL DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-588-2000
 Fax: 801-587-7417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH

NPI # 1841397908
LBN Legal business name PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH
Authorized official EDWARD CLARK - (DEPT CHAIR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 09/06/2011 - About 15 years ago
Identifiers
ID Medicaid 807147900
NV Medicaid 100507105
WY Medicaid 121443800
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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