National Provider Identifier Database

INTERMOUNTAIN HEALTHCARE
Children


Contact Information

INTERMOUNTAIN HEALTHCARE
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
Phone: 801-662-4980
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN HEALTHCARE

NPI Number 1376837203
Legal business name
LBN
INTERMOUNTAIN HEALTHCARE
Authorized official KIMBERLY DESAUTELS - (OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart No
Enumeration date 06/08/2011
Last updated 06/08/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 107520-4201

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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