University Of Utah Otolaryngology Pediatrics
LBN: University Of Utah Otolaryngology Pediatrics
University Of Utah Otolaryngology Pediatrics is an health care organization with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84113-1103. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
University Of Utah Otolaryngology Pediatrics can be contacted via phone (801) 588-2000, or through Madonna, Janell I via phone (801) 587-6464.
Contact Information
Primary practice address
100 Mario Capecchi Dr
Salt Lake City UT 84113-1103
Phone: (801) 588-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | ||
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | ||
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X |
Profile Details
| NPI number | 1508875857 |
|---|---|
| LBN Legal business name | University Of Utah Otolaryngology Pediatrics |
| DBA Doing business as | |
| Authorized official | Madonna, Janell I |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Apr 14th, 2009 - about 15 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 | 1508875857 | NPPES |
| Colorado | MEDICAID | 45200289 | |
| Colorado | MEDICAID | 57507325 | |
| Colorado | MEDICAID | 805957800 | |
| Colorado | Other | CJ3240 |
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