OrganizationActive
Intermountain Healthcare
NPI 1154508653 · Children's Hospital · Salt Lake City, UT
Provider details
- NPI number
- 1154508653
- Entity type
- Organization
- Primary specialty
- Children's HospitalHospitals
- Organization subpart
- No
- Authorized official
- Donald Vernon, Medical Director, Ped Crit Care(801) 662-2427
- License
- 218983-4405 (UT)
Specialties & taxonomies
Hospitals
Practice location
100 N Medical Dr
Pcmc
Salt Lake City, UT 84113-1103
Phone: (801) 662-2442
Fax: (801) 662-2469
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Medical Dr
Salt Lake City, UT 84113-1103
Other names (DBA / former)
- Other name
- Primary Children'S Medical Center
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2008-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.