OrganizationActive
Intermountain Healthcare
NPI 1821548702 · Children's Chronic Disease Hospital · Salt Lake City, UT
Provider details
- NPI number
- 1821548702
- Entity type
- Organization
- Primary specialty
- Children's Chronic Disease HospitalHospitals
- Authorized official
- Heidi Bagley, Clinical Dietitian
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-5318
Mailing address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2016-10-04
- Last updated
- 2016-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.