| NPI | 1154508653 | 
|---|---|
| Other Name | PRIMARY CHILDREN'S MEDICAL CENTER | 
| Entity Type | Organization | 
| Authorized Contact | DONALD VERNON Medical Director, Ped Crit Care 801-662-2427 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: UT 218983-4405) | 
| Enumeration Date | 2008-01-28 | 
| Last Update Date | 2008-01-28 |