Pediatric Hematology Oncology-Department Of University Of Utah
LBN: Pediatric Hematology Oncology-Department Of University Of Utah
Pediatric Hematology Oncology-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 Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is the primary health care specialty.
Pediatric Hematology Oncology-Department Of University Of Utah can be contacted via phone (801) 588-2680, 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) 588-2680
Fax: (801) 588-2662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X |
Profile Details
| NPI number | 1295780625 |
|---|---|
| LBN Legal business name | Pediatric Hematology Oncology-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 | May 24th, 2006 |
| Last updated | Sep 6th, 2011 - about 14 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 | 1295780625 | NPPES |
| Nevada | MEDICAID | 100507108 | |
| Nevada | MEDICAID | 121430600 | |
| Nevada | MEDICAID | 807147300 |
Popular Providers
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Boston Children'S Health Physicians, Llp
19 Skyline Dr Ofc 1N-D06 , Hawthorne NY 10532 -
Arizona Pediatric Hematology
1432 S Dobson Rd Ste 107, Mesa AZ 85202-4768 -
University Of Utah Pediatric Services
100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103 -
The Milton S. Hershey Medical Center Physician Group
500 University Dr , Hershey PA 17033-2360 -
Central Coast Pediatric Hematology Oncology Inc.
2329 Oak Park Ln , Santa Barbara CA 93105-4280 -
Johns Hopkins University
600 N Wolfe St , Baltimore MD 21287-0005 -
University Of Illinois
St Jude Midwest Affiliate 530 Ne Glen Oak, Peoria IL 61637-0001 -
Child Health Foundation Of Boston, Inc.
1 Boston Medical Ctr Pl Division Of Pediatrics, Dowling 3 South, Boston MA 02118-2908