PRIMARY CHILDREN'S MEDICAL CENTER
NPI 1154508653
General Acute Care Hospital - Children in Salt Lake City, UT

Active since January 28, 2008
100 N MEDICAL DR, PCMC, SALT LAKE CITY, UT 84113(801) 662-2442(801) 662-2469 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Acute Care Hospital
  • Children

About PRIMARY CHILDREN'S MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Primary Children's Medical Center, 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 1154508653 assigned on January 2008. The practitioner's primary taxonomy code is 282NC2000X with license number 218983-4405 (UT). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Primary Children's Medical Center. The authorized official of this NPI record is Donald Vernon Md (Medical Director, Ped Crit Care)

NPI
1154508653 Verify this NPI
Provider Legal Name
INTERMOUNTAIN HEALTHCARE
Other Organization Name
PRIMARY CHILDREN'S MEDICAL CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
100 N MEDICAL DR PCMC SALT LAKE CITY, UT 84113
Location Phone
(801) 662-2442
Location Fax
(801) 662-2469
Mailing Address
100 N MEDICAL DR PCMC SALT LAKE CITY, UT 84113
Mailing Phone
(801) 662-2442
Mailing Fax
(801) 662-2469
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2008
Last Update Date
01-28-2008
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.
218983-4405
License State
UT

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD VERNON MD

Authorized Official Title
MEDICAL DIRECTOR, PED CRIT CARE
Authorized Official Phone
(801) 662-2427

Reviews for PRIMARY CHILDREN'S MEDICAL CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Gastroenterology)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Emergency Medicine)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Hematology-Oncology)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Emergency Medicine)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Audiologist
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Clinical Neuropsychologist
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Physical Therapist
100 N MEDICAL DR
SLC, UT 84113
Physical Therapist
100 N MEDICAL DR
SLC, UT 84113
Audiologist
100 N MEDICAL DR
SLC, UT 84113
Speech-Language Pathologist
100 N MEDICAL DR
SLC, UT 84113
Speech-Language Pathologist
100 N MEDICAL DR
SLC, UT 84113
Anesthesiology
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Social Worker (Clinical)
100 N MEDICAL DR
SLC, UT 84113
Speech-Language Pathologist
100 N MEDICAL DR
SLC, UT 84113
Psychologist
100 N MEDICAL DR
SLC, UT 84113
Pharmacist
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Hematology-Oncology)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154508653, enumerated as an "organization" on January 28, 2008.

The provider is located at 100 N MEDICAL DR PCMC SALT LAKE CITY, UT 84113 and the phone number is (801) 662-2442.

General Acute Care Hospital with taxonomy code 282NC2000X and a focus in Children.