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Organization
KPC PROMISE HOSPITAL OF SALT LAKE LLC
Active
Organization
KPC PROMISE HOSPITAL OF SALT LAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMAS (SECRETARY)
(951) 987-8100
Entity
Organization
Contact information
Practice address
4252 S BIRKHILL BLVD, MURRAY, UT 84107-5715
(801) 408-7100
Mailing address
900 N FEDERAL HWY STE 350, BOCA RATON, FL 33432-2754
(561) 869-6505
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Enumeration date
04/30/2019
Last updated
11/01/2021
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