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Organization
PROMISE HOSPITAL OF SALT LAKE INC
Active
Organization
PROMISE HOSPITAL OF SALT LAKE INC
Active
Other names
PROMISE HOSPITAL OF SALT LAKE
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE KINSEY MSN (CEO)
(801) 407-7110
Entity
Organization
Contact information
Practice address
8 TH AVE AND C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-7103
(801) 408-7113
Mailing address
8 TH AVE & C ST, 4TH FLOOR, SALT LAKE CITY, UT 84143-0001
(801) 408-7103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
9187437-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100986
PK
—
Enumeration date
07/10/2008
Last updated
04/19/2016
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