Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CRAIG MARTIN (HOSPITAL ADMINISTRATOR)
(801) 536-3700
Entity
Organization
Contact information
Practice address
1275 FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
(801) 536-3714
(801) 536-3799
Mailing address
SHRINERS HOSPITAL FOR CHILDREN SALT, P.O. BOX 8500 LOCKBOX #7462, PHILADELPHIA, PA 19178-7642
(801) 536-3714
(801) 536-3799
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
2005-HOSP-2006
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005-HOSP-206
STATE FACILITY LICENSE
UT
Enumeration date
03/07/2007
Last updated
10/25/2012
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