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Contact Information

CITY CREEK MEDICAL SPECIALISTS, INC
UNIV OF UTAH MEDICAL HOSPITAL 50 NORTH DR
SALT LAKE CITY, UT84132-2853
 Phone: 801-581-2121
 Fax: 801-408-3598
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CITY CREEK MEDICAL SPECIALISTS, INC

NPI Number 1134393499
LBN Legal business name CITY CREEK MEDICAL SPECIALISTS, INC
Authorized official ANN JEFFERDS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2008
Last updated 07/21/2022 - About 4 years ago
Identifiers
UT License # 1737701205
UT License # 1816141205
UT License # 56382771205
UT License # 5740231205
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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