Provider Demographics
NPI:1396999041
Name:UNIVERSITY OF UTAH HOSPITAL
Entity type:Organization
Organization Name:UNIVERSITY OF UTAH HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GRADUATE MEDICAL EDUCATION ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-581-2401
Mailing Address - Street 1:OFFICE OF GRADUATE MEDICAL EDUCATION
Mailing Address - Street 2:1C412 UNIVERSITY MEDICAL CENTER/ 30N 1900 EAST
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-2401
Mailing Address - Fax:
Practice Address - Street 1:OFFICE OF GRADUATE MEDICAL EDUCATION
Practice Address - Street 2:1C412 UNIVERSITY MEDICAL CENTER/ 30N 1900 EAST
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-2401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital