Organization · Type 2 NPI

Ihc Health Services Inc

Pediatrics Physician · Salt Lake City, UT

NPI number 1003255464 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 662-1000 Map

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	2012-HOSP-439 (UT)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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NPI record

NPI: 1003255464
Entity type: Organization (Type 2)
Issued: Jun 19, 2013
Last updated: May 19, 2026
Status: Active

Other names

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Primary Children's Hospital Specialty Clinic Physicians Group · doing business as
Primary Children's Hospital Specialty Clinic Physicians Group · doing business as

Authorized official

Mr. Robert Allen
CEO
(801) 442-2000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003255464

Ihc Health Services Inc's National Provider Identifier is 1003255464, issued on Jun 19, 2013. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Salt Lake City, UT. The record was last updated on May 19, 2026.