PRIMARY CHILDRENS MEDICAL CENTER – Children's Substance Abuse Rehabilitation Facility, NPI 1457697369

PRIMARY CHILDRENS MEDICAL CENTER is a healthcare provider. based in Salt lake city, Utah. specializing in Children's Substance Abuse Rehabilitation Facility. The organization holds a License No. 2743846006 (UT). The NPI Number for PRIMARY CHILDRENS MEDICAL CENTER is 1457697369

Main info

Organization
Name
PRIMARY CHILDRENS MEDICAL CENTER
NPI
1457697369
Phone
(801) 313-7800
Address
5770 SOUTH 1500 WEST
Authorized Official
MR. WILLIAM THOMAS KUSHNER SUBSTANCE ABUSE COUNSELOR SUDC
Enumeration Date
20 December 2012
Last Update Date
20 December 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for PRIMARY CHILDRENS MEDICAL CENTER

  • 5770 SOUTH 1500 WEST

    BUILDING A

    SALT LAKE CITY, UT 84123

    Phone: (801) 313-7800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 84123)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm PRIMARY CHILDRENS MEDICAL CENTER's NPI?
Yes. PRIMARY CHILDRENS MEDICAL CENTER is listed with NPI 1457697369 in the public NPI dataset.
Does CMS list PRIMARY CHILDRENS MEDICAL CENTER as active?
Yes — PRIMARY CHILDRENS MEDICAL CENTER is active in the NPI listing used on this page.
What is PRIMARY CHILDRENS MEDICAL CENTER best known for clinically?
Directory data describes PRIMARY CHILDRENS MEDICAL CENTER with Children's Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
Where should I expect PRIMARY CHILDRENS MEDICAL CENTER on a map?
Expect Salt Lake City, Utah as a primary anchor for PRIMARY CHILDRENS MEDICAL CENTER unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

EVA CARLSTON ACADEMY

Emotionally Disturbed Childrens' Residential Treatment Facility
4943 WASATCH BLVD
NPI: 1427330968

CRAIG A. CLIFFORD

Children's Substance Abuse Rehabilitation Facility
344 E 100 S
NPI: 1801147533

ODYSSEY HOUSE CORP

Children's Substance Abuse Rehabilitation Facility
344 E 100 S
NPI: 1053750760

ODYSSEY HOUSE CORP

Children's Substance Abuse Rehabilitation Facility
344 E 100 S
NPI: 1326487026

ERIC PETER RYDZEWSKI

Mental Health Counselor
1726 E BLAINE AVE
NPI: 1083073985

Charlie Health

Mental Health Clinic/Center (Including Community Mental Health Center)
169 MADISON AVE STE 15011
NPI: 1285215210