Department Of Pediatrics University Of Utah

LBN: Department Of Pediatrics University Of Utah
Department Of Pediatrics University Of Utah is an health care organization with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Department Of Pediatrics University Of Utah can be contacted via phone (801) 588-2000, or through Clark, Edward B via phone (801) 587-7400.

Contact Information

Primary practice address
100 N Medical Dr Salt Lake City UT 84113-1103
Fax: (801) 587-7417
Website:
Authorized official contact:
Name: Clark, Edward B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1679528715
LBN Legal business name Department Of Pediatrics University Of Utah
DBA Doing business as
Authorized official Clark, Edward B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Sep 6th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679528715 NPPES
Texas MEDICAID 176668501
Texas MEDICAID 911948500
Texas MEDICAID 7038870
Texas MEDICAID 806902200
Texas MEDICAID 003057700
Texas MEDICAID 200426530A
Texas MEDICAID 94001963
Texas MEDICAID 100500257
Texas MEDICAID 200020440A
Texas MEDICAID G0749

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