University of Utah Adult Services
NPI 1174033989ActiveOrganization· Clinic/Center, Multi-Specialty· Salt Lake City, UT
Clinic/Center, Multi-Specialty in Salt Lake City, Utah, registered in NPPES in October 2017, part of University of Utah Adult Services. The authorized official on file is Edward B. Clark, MD, Department Chair.
Overview
| NPI | 1174033989 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | University of Utah Adult Services |
| NPI issued | Oct 6, 2017 |
| Last updated in NPPES | May 19, 2020 |
| Certified by provider | May 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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