2 associated locations — data as of October 30, 2026
Children’s hospital · Salt Lake City, UT
Adolescent Residential and Day
Filed under IHC HEALTH SERVICES, INC. INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL, which files the Medicare cost report for this system.
Taking partNoTermination date filedJanuary 1, 2022Last certifiedAugust 30, 2021
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- April 1, 2014In 340B since
Across IHC HEALTH SERVICES, INC. INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL, 172 contract pharmacies are on file. This location is filed at 5770 South 1500 west Building A, Salt Lake City UT 84123.
Finances, as filed
This record is a location registered under IHC HEALTH SERVICES, INC. INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL, which files the Medicare cost report. The finances are on that record.
Community benefit, as filed
This record is a location registered under IHC HEALTH SERVICES, INC. INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under IHC HEALTH SERVICES, INC. INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL. Executive and director compensation is on that record.
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Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- April 1, 2014
- Termination date
- January 1, 2022
- Termination reason
- Business decision by the Covered Entity
- Certification date
- August 30, 2021
- Record last edited
- January 1, 2022
Identifiers
- 340B ID
- PED463301-05
- Entity type as filed
- PED
- CMS certification number
- 463301
- NPI
- 1235148594 (CA,ID,IL,MT,NV,UT,WY)
- Rural
- No
5770 South 1500 west Building A, Salt Lake City UT 84123
Associated locations
| Adolescent Residential and Day | 5770 South 1500 west Building A | Salt Lake City UT 84123 |
| Primary Children's Hospital | 100 North Mario Cappechi Drive | Salt Lake City UT 84113 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 30, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_085119.xlsx, stamped by its publisher October 30, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_085119.xlsx, read October 30, 2026.