INTERMOUNTAIN PEDIATRIC CLINIC – Pediatric Hospice and Palliative Medicine Physician, NPI 1740499433

INTERMOUNTAIN PEDIATRIC CLINIC is a healthcare provider. based in Salt lake city, Utah. specializing in Pediatric Hospice and Palliative Medicine Physician. The organization holds a License No. 19920633 (UT). The NPI Number for INTERMOUNTAIN PEDIATRIC CLINIC is 1740499433

Main info

Organization
Name
INTERMOUNTAIN PEDIATRIC CLINIC
NPI
1740499433
Phone
(801) 355-4316
Address
508 E SOUTH TEMPLE
Authorized Official
MS. SUSAN HARRIS OFFICE MANAGER
Enumeration Date
21 May 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for INTERMOUNTAIN PEDIATRIC CLINIC

  • 508, South Temple, The Avenues, Salt Lake City, Salt Lake County, Utah, 84102, United States

    SUITE 310

    SALT LAKE CITY, UT 841021013

    Phone: (801) 355-4316

    Fax: (801) 355-6267

    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.

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Medicare Enrollment & Revalidation

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

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

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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 84102)

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Reviews

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Frequently asked questions

How do I look up INTERMOUNTAIN PEDIATRIC CLINIC by NPI?
Use NPI 1740499433 when you need to reference INTERMOUNTAIN PEDIATRIC CLINIC in forms, claims, or directories.
Is INTERMOUNTAIN PEDIATRIC CLINIC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does INTERMOUNTAIN PEDIATRIC CLINIC list a primary specialty?
If you are matching referrals, note Pediatric Hospice and Palliative Medicine Physician for INTERMOUNTAIN PEDIATRIC CLINIC. Clinical services aligned with this taxonomy classification.
Where does public data place INTERMOUNTAIN PEDIATRIC CLINIC?
The snapshot lists Salt Lake City, Utah for INTERMOUNTAIN PEDIATRIC CLINIC; download NPPES for the complete set.
How can I contact INTERMOUNTAIN PEDIATRIC CLINIC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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