Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shriners Hospitals for Children

Organization Clinic/Center · NPI 1033789755

Shriners Hospitals for Children is a Clinic/Center in Salt Lake City, Utah. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1275 E Fairfax Rd
Salt Lake City, UT 84103-4324
Phone: (801) 536-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1033789755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Gantt — President · (813) 281-0300
Other names Shriners Hospitals For Children Rehabilitation Clinic
NPI enumeratedJune 25, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 11, 2021
Mailing addressPo Box 8500 Lockbox 7642, Philadelphia, PA 19178-1435

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