Provider Demographics
NPI:1144676412
Name:UTAH POISON CONTROL CENTER
Entity type:Organization
Organization Name:UTAH POISON CONTROL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, UPCC
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROUCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, MSPH
Authorized Official - Phone:801-587-0600
Mailing Address - Street 1:30 S 2000 E STE 4540
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84112-5820
Mailing Address - Country:US
Mailing Address - Phone:801-587-0600
Mailing Address - Fax:801-581-2151
Practice Address - Street 1:30 S 2000 E STE 4540
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5820
Practice Address - Country:US
Practice Address - Phone:801-587-0600
Practice Address - Fax:801-581-2151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF UTAH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare