OrganizationActive
Intermountain Healthcare
NPI 1760810337 · Health Maintenance Organization · Salt Lake City, UT
Provider details
- NPI number
- 1760810337
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Gudrun Mirin, Clinical Social Worker(801) 408-8500
- License
- 932611213501 (UT)
Specialties & taxonomies
Managed Care Organizations
Practice location
324 E 10th Ave Ste 178
Salt Lake City, UT 84103-2885
Phone: (801) 408-8500
Approximate (ZIP-level) locationGet directions
Mailing address
324 E 10th Ave Ste 178
Salt Lake City, UT 84103-2885
Registry dates
- Enumerated
- 2013-10-17
- Last updated
- 2013-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.