Primary Children's Medical Center – Children's Hospital, NPI 1154508653

Children's Hospital

Primary Children's Medical Center is a healthcare provider. based in Salt lake city, Utah. specializing in Children's Hospital. The organization holds a License No. 218983-4405 (UT). The NPI Number for Primary Children's Medical Center is 1154508653

Main info

Organization

Name

Primary Children's Medical Center

NPI

1154508653

Phone

(801) 662-2442

Address

100 N MEDICAL DR

Authorized Official

DONALD VERNON MEDICAL DIRECTOR, PED CRIT CARE MD

Enumeration Date

28 January 2008

Last Update Date

28 January 2008

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness80

Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Primary Children's Medical Center

100, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
PCMC
SALT LAKE CITY, UT 841131103
Phone: (801) 662-2442
Fax: (801) 662-2469
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84113)

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Reviews

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Frequently asked questions

Is there an official ID for Primary Children's Medical Center in U.S. healthcare records?

The official identifier for Primary Children's Medical Center is NPI 1154508653.

Would Primary Children's Medical Center appear as active to a payer?

You can treat Primary Children's Medical Center as active for directory purposes; confirm clinical privileges separately.

How would a patient describe Primary Children's Medical Center's focus?

For Primary Children's Medical Center, the primary taxonomy reads as Children's Hospital. Clinical services aligned with this taxonomy classification.

What practice footprint exists for Primary Children's Medical Center?

Travel planning: use Salt Lake City, Utah as the reference point for Primary Children's Medical Center, then confirm.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.