PRIMARY CHILDREN'S MEDICAL CENTER; NPI #1225295520

Contact Information

PRIMARY CHILDREN'S MEDICAL CENTER

100 N MEDICAL DR
PRIMARY CHILDREN'S MEDICAL CENTER PEDIATRIC CARDIOLOGY
SALT LAKE CITY, UT 84113-1103

Phone: 810-662-5400
Fax: 801-662-5404
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for PRIMARY CHILDREN'S MEDICAL CENTER

NPI Number 1225295520

LBN Legal business name PRIMARY CHILDREN'S MEDICAL CENTER

Authorized official EDWARD CLARK - (CHAIR OF PEDIATRICS)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/22/2008

Last updated 05/22/2008 - About 18 years ago

Identifiers

License #

6138575-1204

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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PRIMARY CHILDREN'S MEDICAL CENTER

Contact Information

Specialty

Children

NPI Profile & details for PRIMARY CHILDREN'S MEDICAL CENTER

Reviews for PRIMARY CHILDREN'S MEDICAL CENTER