Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1144408675 |
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| LBN Legal business name | INTERMOUNTAIN HEALTH CARE | ||||
| Authorized official | KRISTIN KRISTENSEN - (NNP) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/06/2008 | ||||
| Last updated | 02/06/2008 - About 18 years ago | ||||
| Identifiers |
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