Park City Internal Medicine - Pediatrics, Lc

LBN: Park City Internal Medicine - Pediatrics, Lc
Park City Internal Medicine - Pediatrics, Lc is an health care organization with primary practice located at 1612 Ute Blvd Ste 205, Park City UT 84098-7500. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Park City Internal Medicine - Pediatrics, Lc can be contacted via phone (435) 655-3309, or through Peacock, Penny via phone (435) 655-3309.

Contact Information

Primary practice address
1612 Ute Blvd Ste 205 Park City UT 84098-7500
Phone: (435) 655-3309
Fax: (435) 655-3392
Website:
Map and Directions
Authorized official contact:
Name: Peacock, Penny Doctor of Medicine (MD)
Phone: (435) 655-3309

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 5151398-1205 Utah

Profile Details

NPI number 1750569562
LBN Legal business name Park City Internal Medicine - Pediatrics, Lc
DBA Doing business as
Authorized official Peacock, Penny Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2008
Last updated May 18th, 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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