National Provider Identifier Database

PRIMARY CHILDRENS MEDICAL CENTER
Children


Contact Information

PRIMARY CHILDREN'S MEDICAL CENTER
100 N MEDICAL DR
PRIMARY CHILDREN'S MEDICAL CENTER PEDIATRIC CARDIOLOGY
SALT LAKE CITY, UT84113-1103
Phone: 810-662-5400
Fax: 801-662-5404
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for PRIMARY CHILDREN'S MEDICAL CENTER

NPI Number 1225295520
Legal business name
LBN
PRIMARY CHILDREN'S MEDICAL CENTER
Authorized official EDWARD CLARK - (CHAIR OF PEDIATRICS)
Entity Organization
Organization subpart No
Enumeration date 05/22/2008
Last updated 05/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 6138575-1204

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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