Shriners Hospitals For Children | |
1275 E Fairfax Rd Salt Lake City UT 84103-4324 | |
(801) 536-3500 | |
Not Available |
Full Name | Shriners Hospitals For Children |
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Speciality | Clinic/center - Rehabilitation |
Location | 1275 E Fairfax Rd, Salt Lake City, Utah |
Authorized Official Name and Position | Jerry G. Gantt (PRESIDENT) |
Authorized Official Contact | 8132810300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shriners Hospitals For Children Po Box 8500 Lockbox 7642 Philadelphia PA 19178-1435 Ph: (813) 281-0300 | Shriners Hospitals For Children 1275 E Fairfax Rd Salt Lake City UT 84103-4324 Ph: (801) 536-3500 |
NPI Number | 1033789755 |
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Provider Enumeration Date | 06/25/2021 |
Last Update Date | 06/25/2021 |
Identifier | Type | State | Issuer |
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1033789755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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