INTERMOUNTAIN HEALTH CARE
NPI 1144408675
General Acute Care Hospital - Children in Salt Lake City, UT
- Organization
- General Acute Care Hospital
- Children
- CLIA Number: 46D2191795
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 07-06-2027
About INTERMOUNTAIN HEALTH CARE
This page provides the complete NPI Profile along with additional information for Intermountain Health Care, a provider established in Salt Lake City, Utah operating as a General Acute Care Hospital, focusing in children . The healthcare provider is registered in the NPI registry with number 1144408675 assigned on February 2008. The practitioner's primary taxonomy code is 282NC2000X with license number 327855-4405 (UT). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Kristin Kay Kristensen Bsn, Msn, Aprn (Nnp)
- NPI
- 1144408675 Verify this NPI
- Provider Name
- INTERMOUNTAIN HEALTH CARE
- Entity Type
- Organization
- Location Address
- 3159 EAGLE ROCK WAY SALT LAKE CITY, UT 84120
- Location Phone
- (801) 840-0639
- Mailing Address
- 3159 EAGLE ROCK WAY SALT LAKE CITY, UT 84120
- Mailing Phone
- (801) 840-0639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2008
- Last Update Date
- 02-06-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Children
- Taxonomy Code
- 282NC2000X
- Type
- Hospitals
- License No.
- 327855-4405
- License State
- UT
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2191795
- Facility Type
- Community Clinic
- Certificate Effective Date
- July 07, 2025
- Certificate Expiration Date
- July 06, 2027
- Laboratory Director
- NICHOLAS LOWE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Health Care after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144408675, enumerated as an "organization" on February 06, 2008.
The provider is located at 3159 EAGLE ROCK WAY SALT LAKE CITY, UT 84120 and the phone number is (801) 840-0639.
General Acute Care Hospital with taxonomy code 282NC2000X and a focus in Children.
