BINGHAM MEMORIAL HOSPITAL BLACKFOOT - PED'S CARDIOLOGY – NPI #1245682509
Pediatrics

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.

BINGHAM MEMORIAL HOSPITAL BLACKFOOT - PED'S CARDIOLOGY is a provider located in BLACKFOOT, ID. NPPES has assigned the NPI number 1245682509 to BINGHAM MEMORIAL HOSPITAL BLACKFOOT - PED'S CARDIOLOGY on July 11, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BINGHAM MEMORIAL HOSPITAL BLACKFOOT - PED'S CARDIOLOGY” is a dba name, the actual legal business name for this organization is UNIVERSITY OF UTAH PEDIATRIC SERVICES. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 5 years ago on Jan 22, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BINGHAM MEMORIAL HOSPITAL BLACKFOOT - PED'S CARDIOLOGY below.

NPI Profile for
UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI Number
1245682509
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Doing Business As (dba): BINGHAM MEMORIAL HOSPITAL BLACKFOOT - PED'S CARDIOLOGY
Primary location
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone: (801) 213-3599 Fax:
Mailing address
PO BOX 841450
LOS ANGELES, CA 90084-1450
Phone: (801) 213-3900 Fax:
Organization Subpart
Yes - BINGHAM MEMORIAL HOSPITAL BLACKFOOT - PED'S CARDIOLOGY is subpart of another organization.
Authorized Official
SAMUEL FINLAYSON
CHIEF CLINICAL OFFICER
Phone: (801) 587-6336
Updated
Certification Date
Jan 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.