University Of Utah Division Of Pediatric Neurosurgery

LBN: University Of Utah Division Of Pediatric Neurosurgery
University Of Utah Division Of Pediatric Neurosurgery is an health care organization with primary practice located at 100 N Medical Dr Suite 2400, Salt Lake City UT 84113-1103. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. University Of Utah Division Of Pediatric Neurosurgery can be contacted via phone (801) 588-3400, or through Couldwell, William T via phone (801) 581-6909.

Contact Information

Primary practice address
100 N Medical Dr Suite 2400 Salt Lake City UT 84113-1103
Fax: (801) 588-3409
Website:
Authorized official contact:
Name: Couldwell, William T Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1417068271
LBN Legal business name University Of Utah Division Of Pediatric Neurosurgery
DBA Doing business as
Authorized official Couldwell, William T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417068271 NPPES
Indiana MEDICAID 100389310A
Indiana MEDICAID 003073800
Indiana MEDICAID 7123755
Indiana MEDICAID X9X042036
Indiana MEDICAID 100501144
Indiana MEDICAID 200019110A
Indiana MEDICAID 29584205
Indiana MEDICAID 837253
Indiana MEDICAID 116059100

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