INTERMOUNTAIN HEALTHCARE
NPI 1790230860
General Acute Care Hospital - Children in Salt Lake City, UT

NPI Status: Active since August 18, 2016

Contact Information

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-5318

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  • Organization
  • General Acute Care Hospital
  • Children
  • CLIA Number: 46D0959710
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 10-31-2025

About INTERMOUNTAIN HEALTHCARE

This page provides the complete NPI Profile along with additional information for Intermountain Healthcare, 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 1790230860 assigned on August 2016. The practitioner's primary taxonomy code is 282NC2000X with license number 78229114901 (UT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Heidi Nicole Bagley R.d. (Clinical Dietitian)

NPI
1790230860
Provider Name
INTERMOUNTAIN HEALTHCARE
Entity Type
Organization
Location Address
100 N MARIO CAPECCHI DR SALT LAKE CITY, UT 84113
Location Phone
(801) 662-5318
Mailing Address
100 N MARIO CAPECCHI DR SALT LAKE CITY, UT 84113
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2016
Last Update Date
08-18-2016
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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.
78229114901
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

HEIDI NICOLE BAGLEY R.D.

Authorized Official Title
CLINICAL DIETITIAN
Authorized Official Phone
(801) 662-5318

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
46D0959710
Facility Type
Mobile Laboratory
Certificate Effective Date
October 18, 2023
Certificate Expiration Date
October 31, 2025
Laboratory Director
JAYSON V. PAGADUAN PHD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Intermountain Healthcare 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 1790230860, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 2 → 4 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 4 + 3 + 0 + 8 + 1 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1790230860.

Other Providers at the Same Location


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

Surgery (Pediatric Surgery)
100 N MARIO CAPECCHI DR, SUITE 2600
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Neurological Surgery
100 N MARIO CAPECCHI DR, #1475
SLC, UT 84113
Nurse Practitioner
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Physician Assistant
100 N MARIO CAPECCHI DR
SLC, UT 84113
Nurse Practitioner (Pediatrics)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Dietitian, Registered (Nutrition, Pediatric)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Dietitian, Registered (Nutrition, Pediatric)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Dentist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Sleep Medicine)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Emergency Medicine)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Critical Care Medicine)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790230860, enumerated as an "organization" on August 18, 2016.

The provider is located at 100 N MARIO CAPECCHI DR SALT LAKE CITY, UT 84113 and the phone number is (801) 662-5318.

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