Organization
INTERMOUNTAIN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BRADFORD (CLINIC MANAGER)
(801) 408-8500
Entity
Organization
Contact information
Practice address
8TH AVENUE AND C ST, LDS HOSPITAL, SALT LAKE CITY, UT 84143
(801) 408-8500
Mailing address
LDS HOSPITAL 8TH AVE AND C ST, POB SUITE 172, SALT LAKE CITY, UT 84143-0001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
278646
UT
Other
Enumeration date
11/01/2013
Last updated
03/07/2023
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