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Contact Information

INTERMOUNTAIN HEALTHCARE
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-662-4980
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN HEALTHCARE

NPI Number 1376837203
LBN Legal business name INTERMOUNTAIN HEALTHCARE
Authorized official KIMBERLY DESAUTELS - (OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2011
Last updated 06/08/2011 - About 15 years ago
Identifiers
UT License # 107520-4201
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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