Healthcare Provider Details

I. General information

NPI: 1083795256
Provider Name (Legal Business Name): UNIVERSITY HEALTH CARE PARK CITY MOUNTAIN RESORT URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1493 LOWELL AVE
PARK CITY UT
84060
US

IV. Provider business mailing address

PO BOX 58108
SALT LAKE CITY UT
84158-0108
US

V. Phone/Fax

Practice location:
  • Phone: 435-655-7970
  • Fax:
Mailing address:
  • Phone: 801-581-3998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES SALTZMAN
Title or Position: DEPT CHAIR
Credential: MD
Phone: 801-581-3998