OrganizationActive
Intermountain Healthcare
NPI 1790230860 · Children's Hospital · Salt Lake City, UT
Provider details
- NPI number
- 1790230860
- Entity type
- Organization
- Primary specialty
- Children's HospitalHospitals
- Organization subpart
- No
- Authorized official
- Heidi Bagley, Clinical Dietitian(801) 662-5318
- License
- 78229114901 (UT)
Specialties & taxonomies
Hospitals
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-5318
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2016-08-18
- Last updated
- 2016-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.