Provider Demographics
NPI:1902359052
Name:UNIVERSITY OF UTAH HOSPITALS
Entity Type:Organization
Organization Name:UNIVERSITY OF UTAH HOSPITALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-899-1684
Mailing Address - Street 1:3225 SOUTH 900 EAST
Mailing Address - Street 2:APT # 209
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-2687
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 CIRCLE OF HOPE DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5550
Practice Address - Country:US
Practice Address - Phone:801-587-4022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9551850-4201282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital