Bonneville Dialysis Center in Salt Lake City - End-stage Renal Disease (esrd) Treatment
Bonneville Dialysis Center - NPI 1003915513
Bonneville Dialysis Center is a End-stage Renal Disease (esrd) Treatment in Salt Lake City, Utah. Bonneville Dialysis Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Bonneville Dialysis Center is 1003915513. The last update date is 2007-09-11.
Bonneville Dialysis Center's current location address is Po Box 27071, Salt Lake City, Utah. You can contact this provider via phone number 8015818578 and fax number 8014761766. The mailing address for Bonneville Dialysis Center is Po Box 27071, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bonneville Dialysis Center |
|---|---|
| Address | Po Box 27071, Salt Lake City, Utah |
| Phone Number | 8015818578 |
| Fax Number | 8014761766 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM AD |
|---|---|
| Authorized Official Name | Hemming L Steven |
| Telephone Number | 8015818573 |
NPI Number Detail
| NPI Number | 1003915513 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | Po Box 27071 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270071 |
| Phone Number | 8015818578 |
| Fax Number | 8014761766 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 2004-ESRD-38 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
Could you please share the complete physical location address where Bonneville Dialysis Center's facilities are situated?
The facilities of Bonneville Dialysis Center are physically located at the following address: Po Box 27071, Salt Lake City, UT, 841270071.
What is Bonneville Dialysis Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bonneville Dialysis Center is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date was the 1003915513 assigned to Bonneville Dialysis Center?
The Bonneville Dialysis Center was issued its 1003915513 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bonneville Dialysis Center most recently updated?
The details pertaining to the Bonneville Dialysis Center, including its address, specialty, and other relevant information, were last refreshed on 2007-09-11.
As of what date was the information pertaining to Bonneville Dialysis Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bonneville Dialysis Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-11.