INTERMOUNTAIN PEDIATRIC CLINIC
NPI 1740499433
Pediatrics - Hospice and Palliative Medicine in Salt Lake City, UT
NPI Status: Active since May 21, 2007
Contact Information
508 E SOUTH TEMPLE
SUITE 310
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 355-4316
Fax: (801) 355-6267
- Organization
- Pediatrics
- Hospice and Palliative Medicine
- CLIA Number: 46D2320044
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-10-2027
About INTERMOUNTAIN PEDIATRIC CLINIC
This page provides the complete NPI Profile along with additional information for Intermountain Pediatric Clinic, a pediatrician established in Salt Lake City, Utah operating as a Pediatrics, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1740499433 assigned on May 2007. The practitioner's primary taxonomy code is 2080H0002X with license number 19920633 (UT). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Susan Harris (Office Manager)
- NPI
- 1740499433
- Provider Name
- INTERMOUNTAIN PEDIATRIC CLINIC
- Entity Type
- Organization
- Location Address
- 508 E SOUTH TEMPLE SUITE 310 SALT LAKE CITY, UT 84102
- Location Phone
- (801) 355-4316
- Location Fax
- (801) 355-6267
- Mailing Address
- 508 E SOUTH TEMPLE SUITE 310 SALT LAKE CITY, UT 84102
- Mailing Phone
- (801) 355-4316
- Mailing Fax
- (801) 355-6267
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Intermountain Pediatric Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics Hospice and Palliative Medicine
- Taxonomy Code
- 2080H0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19920633
- License State
- UT
- Taxonomy Description
- A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 46D2320044
- Facility Type
- Physician Office
- Certificate Effective Date
- March 11, 2025
- Certificate Expiration Date
- March 10, 2027
- Laboratory Director
- PARK W. WILLIS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Pediatric Clinic 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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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1740499433, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 77 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740499433, enumerated as an "organization" on May 21, 2007.
The provider is located at 508 E SOUTH TEMPLE SUITE 310 SALT LAKE CITY, UT 84102 and the phone number is (801) 355-4316.
Pediatrics with taxonomy code 2080H0002X and a focus in Hospice and Palliative Medicine.
