Pediatric Inpatient Services Department Of University Of Utah

Pediatric Critical Care Medicine

Pediatric Inpatient Services Department Of University Of Utah is a Salt Lake City, Utah based Pediatric center with medical specialization in Pediatric Critical Care Medicine. It is located at 100 N Medical Dr, Pediatric Inpatient Serv, Salt Lake City, Utah - 84113-1103. They can be contacted on phone at 801-588-3813 and fax number 801-588-3814.
NPI number (Unique professional ID) for Pediatric Inpatient Services Department Of University Of Utah is 1588765457 which was assigned by NPPES on 25 Sep, 2006 and it was last updated on 06 Sep, 2011.
Pediatric Inpatient Services Department Of University Of Utah is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Pediatric Inpatient Services Department Of University Of Utah basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Critical Care Medicine
Provider Name :Pediatric Inpatient Services Department Of University Of Utah
Business Address:
Pediatric Inpatient Services Department Of University Of Utah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :100 N Medical Dr, Pediatric Inpatient Serv
Salt Lake City, UT, 84113-1103
United States
Phone Number :801-588-3813
Fax Number :801-588-3814
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1588765457
NPI Entity Type : Organization
First Enrolment Date : 25 Sep, 2006
Last Updated On : 06 Sep, 2011
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Edwardb Clark
Authorized Official Credential :MD
Official Title or Position :DEPT CHAIR
Phone Number :801-587-7400
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Inpatient Services Department Of University Of Utah are as mentioned. Primary taxonomy code for Pediatric Inpatient Services Department Of University Of Utah is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNo
208M00000XHospitalistNo
2080P0203XPediatrics Pediatric Critical Care MedicineYes
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Inpatient Services Department Of University Of Utah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
100507110MEDICAIDNV
=========001MEDICAIDUT
807148100MEDICAIDID
7200173MEDICAIDWA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :295 Chipeta Way, U Of U Som Dept Of Pediatrics
Salt Lake City, UT, 84108-1220
United States
Phone Number :801-587-7400
Fax Number :801-587-7417
Business Location:
Patients can refer following map for directions to Pediatric Inpatient Services Department Of University Of Utah practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.