Pediatric Emergency Medicine Department Of University Of Utah
LBN: Pediatric Emergency Medicine Department Of University Of Utah
Pediatric Emergency Medicine Department Of 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 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is the primary health care specialty.
Pediatric Emergency Medicine Department Of University Of Utah can be contacted via phone (801) 588-2233, 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
Phone: (801) 588-2233
Fax: (801) 588-2236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X |
Profile Details
| NPI number | 1275570665 |
|---|---|
| LBN Legal business name | Pediatric Emergency Medicine Department Of University Of Utah |
| DBA Doing business as | |
| Authorized official | Clark, Edward B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275570665 | NPPES |
| Wyoming | MEDICAID | 121335100 | |
| Wyoming | MEDICAID | 807146900 | |
| Wyoming | MEDICAID | 100507107 |
Popular Providers
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University Of Utah Pediatric Services
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Uc Regents
200 Ucla Medical Plaza Suite 265, Los Angeles CA 90095-8344 -
Connecticut Children'S Specialty Group, Inc.
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Pediatric Emergency Sedation Service
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University Of Utah Pediatric Services
100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103 -
University Of Pittsburgh Physicians
4401 Penn Ave , Pittsburgh PA 15224 -
University Of Utah Pediatric Acuity Care
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Johns Hopkins University
600 N Wolfe St , Baltimore MD 21287-0005