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University of Utah

NPI 1003713090ActiveOrganization· Clinic/Center, Multi-Specialty· Salt Lake City, UT

Clinic/Center, Multi-Specialty in Salt Lake City, Utah, registered in NPPES in October 2026, part of University of Utah. The authorized official on file is Charlton Park, Cfo.

Overview

NPI1003713090
StatusActive
Entity typeOrganization (subpart)
Parent organizationUniversity of Utah
NPI issuedOct 22, 2026
Last updated in NPPESOct 22, 2026
Certified by providerOct 22, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center, Multi-Specialty Primary261QM1300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center, Multi-Specialty providers in Salt Lake City

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