National Provider Identifier Database

INTERMOUNTAIN HEALTHCARE
Children


Contact Information

INTERMOUNTAIN HEALTHCARE
100 N MEDICAL DR
PCMC
SALT LAKE CITY, UT84113-1103
Phone: 801-662-2442
Fax: 801-662-2469
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN HEALTHCARE

NPI Number 1154508653
Legal business name
LBN
INTERMOUNTAIN HEALTHCARE
Authorized official DONALD VERNON - (MEDICAL DIRECTOR, PED CRIT CARE)
Entity Organization
Organization subpart No
Enumeration date 01/28/2008
Last updated 01/28/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 218983-4405

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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