# UNIVERSITY OF UTAH HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235546573
- **Authorized official:** ROSS VAN VRANKEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (801) 587-3115

## Contact information

- **Practice address:** 51 W 3900 S, SALT LAKE CITY, UT 84107-1431
- **Practice address phone:** (801) 587-2370
- **Practice address fax:** (801) 266-1088
- **Mailing address:** 51 W 3900 S, SALT LAKE CITY, UT 84107-1431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 13644 | UT | Yes |

## Other

- **Enumeration date:** 07/18/2014
- **Last updated:** 03/03/2017