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
Fax: (801) 588-2662
Website:
Authorized official contact:
Name: Clark, Edward B Doctor of Medicine (MD)

Health care specialties

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 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 1295780625 NPPES
Nevada MEDICAID 100507108
Nevada MEDICAID 121430600
Nevada MEDICAID 807147300

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