PRIMARY CHILDRENS MEDICAL CENTER
NPI 1457697369
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Salt Lake City, UT

Q: What is Primary Childrens Medical Center's NPI number?

The NPI number for Primary Childrens Medical Center is 1457697369. It was assigned to this organization in the NPPES registry on December 20, 2012.

Q: What is Primary Childrens Medical Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since December 20, 2012

5770 SOUTH 1500 WEST, BUILDING A, SALT LAKE CITY, UT 84123(801) 313-7800 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Primary Childrens Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CHILDRENS MEDICAL CENTER (NPI 1457697369) is a healthcare organization registered as a substance abuse treatment, children in Salt Lake City, Utah and active in the NPI registry since December 2012. The organization lists William Thomas Kushner, Substance Abuse Counselor, as its authorized official.

NPPES Registry Identity

NPI1457697369

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business NamePRIMARY CHILDRENS MEDICAL CENTER

Location Address5770 SOUTH 1500 WEST, BUILDING ASalt Lake City, UT 84123

Mailing Address5770 South 1500 West, Building ASalt Lake City, UT 84123 · (801) 313-7800

Phone(801) 313-7800

Organization SubpartNo

Authorized OfficialWilliam Thomas KushnerSubstance Abuse Counselor · (801) 313-7858

Enumeration DateDecember 20, 2012

✔ NPI 1457697369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

License✔ Licensed in UT · 2743846006

Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

5770 SOUTH 1500 WEST, Salt Lake City, UT 84123

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDA LOU VERNON LCSW

Social Worker (Clinical)

5770 SOUTH 1500 WEST
TAYLORSVILLE, UT 84123

Salt Lake County (801) 599-8979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Childrens Medical Center's NPI number?

The NPI number for Primary Childrens Medical Center is 1457697369. It was assigned to this organization in the NPPES registry on December 20, 2012.

Where is Primary Childrens Medical Center located?

Primary Childrens Medical Center is located at 5770 South 1500 West Building A, Salt Lake City, UT 84123. The listed phone number is (801) 313-7800.

What is Primary Childrens Medical Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Primary Childrens Medical Center was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.