UNIVERSITY OF UTAH PEDIATRIC SERVICES NPI 1154783017

NPI Information

  • NPI: 1154783017
  • Provider Name: UNIVERSITY OF UTAH PEDIATRIC SERVICES
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Organization
  • Doing Business As: PORTNEUF MEDICAL CENTER - PEDIATRIC CARDIOLOGY
  • Address: 777 HOSPITAL WAY
    POCATELLO, ID
    ZIP 83201
  • Phone: (801) 587-6336

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NPI Details

UNIVERSITY OF UTAH PEDIATRIC SERVICES is a pediatric cardiology pediatrics in Pocatello, ID. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. UNIVERSITY OF UTAH PEDIATRIC SERVICES NPI is 1154783017. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Portneuf Medical Center - Pediatric Cardiology.

The provider's business location address is:

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201-175
Phone: (801) 587-6336

The provider's authorized official is Samuel Finlayson .
The authorized official title is Chief Clinical Officer and has the following contact phone number (801) 587-6336.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 1/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0202XPediatricsPediatric CardiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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