# STATE OF UTAH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children with Special Health Care Needs (CSHCN(
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699878942
- **Authorized official:** KIM L ROMERO (BUREAU DIRECTOR, FINANCIAL RESCOURC)
- **Authorized official phone:** (801) 538-6911

## Contact information

- **Practice address:** 44 N MARIO CAPPECI DRIVE, SALT LAKE CITY, UT 84114
- **Practice address phone:** (801) 584-8239
- **Mailing address:** PO BOX 142001, SALT LAKE CITY, UT 84114-2001
- **Mailing address phone:** (801) 538-6709
- **Mailing address fax:** (801) 538-6591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 08/20/2009