INTERMOUNTAIN HEALTHCARE


Address: 100 N Medical Dr, Pcmc, Salt Lake City, UT 84113-1103
Phone: 8016622442

INTERMOUNTAIN HEALTHCARE (NPI# 1154508653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154508653
Entity Type Organization
Organization Name INTERMOUNTAIN HEALTHCARE
Other Organization Name PRIMARY CHILDREN'S MEDICAL CENTER
Practice Address 100 N Medical Dr
Pcmc
Salt Lake City
UT 84113-1103
Practice Telephone 8016622442
Practice Fax Number 8016622469
Mailing Telephone 8016622442
Mailing Fax Number 8016622469
Enumeration Date 2008-01-28
Last Update Date 2008-01-28
Authorized Official Name DONALD VERNON (MEDICAL DIRECTOR, PED CRIT CARE)
Authorized Official Telephone 8016622427
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NC2000X General Acute Care Hospital
Specialization: Children
218983-4405 UT Hospitals

Other Provider/Organization Names

Other Name Type Code
Primary Children's Medical Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790236446 Intermountain Healthcare General Acute Care Hospital 821 Edgewood Dr, Ogden, UT 84403-4233 2016-10-18
1720445307 Intermountain Healthcare General Acute Care Hospital 884 Black Rock Dr, Santa Clara, UT 84765-5440 2016-01-27
1144579616 Intermountain Healthcare General Acute Care Hospital 5572 West Slate Canyon Drive, Apt B-101, West Jordan, UT 84081 2012-08-30
1346447331 Intermountain Healthcare General Acute Care Hospital 8th Avenue and 'c' Street, Salt Lake City, UT 84143 2007-07-02
1942332465 Intermountain Healthcare General Acute Care Hospital 4401 S Harrison Blvd, Mckay-dee, Ogden, UT 84403 2007-03-10
1821548702 Intermountain Healthcare Chronic Disease Hospital 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-10-04
1790230860 Intermountain Healthcare General Acute Care Hospital 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-08-18
1114378288 Intermountain Healthcare Clinic/Center 3741 W 12600 S, Riverton, UT 84065-7215 2016-06-29
1316304918 Intermountain Healthcare Rehabilitation Hospital 1034 N 500 W, Speech and Hearing, Provo, UT 84604-3380 2016-01-27
1316331523 Intermountain Healthcare Clinic/Center 527 W 400 N Ste 2, Orem, UT 84057-1951 2015-03-25

Office Location

Street Address 100 N MEDICAL DR
PCMC
City SALT LAKE CITY
State UT
Zip Code 84113-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598763112 Michael Wayne Boyer Pediatrics 100 N Medical Dr, Bmt, Salt Lake City, UT 84113-1103 2005-07-08
1679719215 Kristen Haacke Nurse Practitioner 100 N Medical Dr, Salt Lake City, UT 84113-1103 2009-01-04
1508001736 Juliann Wintch Allred Psychiatry & Neurology 100 N Medical Dr, Clinical Neurosciences Center, Neurology, Salt Lake City, UT 84132-0001 2008-12-02
1811141500 Jennifer Grace O'donohoe Student in an Organized Health Care Education/Training Program 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-11-08
1033362264 Erin Kristin Zinkhan Pediatrics 100 N Medical Dr, Residency Office, Salt Lake City, UT 84113-1103 2008-10-31
1962652966 Rachael D Rich Nurse Practitioner 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-09-25
1528229101 Julia Kelsey Gunther Pediatrics 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-06-17
1225295520 Primary Children's Medical Center General Acute Care Hospital 100 N Medical Dr, Primary Children's Medical Center Pediatric Cardiology, Salt Lake City, UT 84113-1103 2008-05-22
1942476569 Pediatric Behavioral Health Pediatrics 100 N Medical Dr, Peds Behavioral Health, Salt Lake City, UT 84113-1103 2008-05-03
1871769471 Machelle Ross Bateman Nurse Practitioner 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-05-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
Find all providers in zip 84113

Taxonomy Information

Taxonomy Code 282NC2000X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Children

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144408675 Intermountain Health Care General Acute Care Hospital 3159 Eagle Rock Way, Salt Lake City, UT 84120-1424 2008-02-06
1255461075 Shriners Hospitals for Children General Acute Care Hospital 1275 Fairfax Rd, Salt Lake City, UT 84103-4324 2007-03-07
1790230860 Intermountain Healthcare General Acute Care Hospital 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-08-18
1376837203 Intermountain Healthcare General Acute Care Hospital 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2011-06-08
1245490424 Eric Wallace Glissmeyer General Acute Care Hospital 295 Chipeta Way, Salt Lake City, UT 84108-1287 2008-06-11
1225295520 Primary Children's Medical Center General Acute Care Hospital 100 N Medical Dr, Primary Children's Medical Center Pediatric Cardiology, Salt Lake City, UT 84113-1103 2008-05-22
1861660268 Intermountain Health Care General Acute Care Hospital 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-02-19
1710162755 Primary Children's Medical Center General Acute Care Hospital 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1063748028 Intermountain Healthcare General Acute Care Hospital 4401 Harrison Blvd, Newborn Intensive Care Unit, Ogden, UT 84403-3195 2009-10-27

Competitor

Search similar providers

City SALT LAKE CITY
Zip Code 84113

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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