Hmhi Pediatric Inpatient Program | |
501 S Chipeta Way Salt Lake City UT 84108-1222 | |
(801) 587-6336 | |
Not Available |
Full Name | Hmhi Pediatric Inpatient Program |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 501 S Chipeta Way, Salt Lake City, Utah |
Authorized Official Name and Position | Samuel Finlayson (CHIEF CLINICAL OFFICER) |
Authorized Official Contact | 8015876336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hmhi Pediatric Inpatient Program Po Box 841450 Los Angeles CA 90084-1450 Ph: (801) 213-3900 | Hmhi Pediatric Inpatient Program 501 S Chipeta Way Salt Lake City UT 84108-1222 Ph: (801) 587-6336 |
NPI Number | 1205378320 |
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Provider Enumeration Date | 11/07/2016 |
Last Update Date | 02/01/2021 |
Certification Date | 02/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205378320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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