South Valley Dialysis Center in Salt Lake City - End-stage Renal Disease (esrd) Treatment
South Valley Dialysis Center - NPI 1508965625
South Valley Dialysis Center is a End-stage Renal Disease (esrd) Treatment in Salt Lake City, Utah. South Valley Dialysis Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for South Valley Dialysis Center is 1508965625. The last update date is 2007-10-23.
South Valley 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 8012338749. The mailing address for South Valley Dialysis Center is Po Box 27071, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Valley Dialysis Center |
|---|---|
| Address | Po Box 27071, Salt Lake City, Utah |
| Phone Number | 8015818578 |
| Fax Number | 8012338749 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM AD |
|---|---|
| Authorized Official Name | Hemming L Steven |
| Telephone Number | 8015818573 |
NPI Number Detail
| NPI Number | 1508965625 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | Po Box 27071 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270071 |
| Phone Number | 8015818578 |
| Fax Number | 8012338749 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 2004-ESRD-39 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South Valley Dialysis Center by the Centers for Medicare & Medicaid Services?
The South Valley Dialysis Center has been issued the NPI (National Provider Identifier) 1508965625, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where South Valley Dialysis Center's facilities are situated?
The facilities of South Valley Dialysis Center are physically located at the following address: Po Box 27071, Salt Lake City, UT, 841270071.
What is South Valley Dialysis Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Valley Dialysis Center is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that categorizes this field of expertise is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508965625 to South Valley Dialysis Center?
The Centers for Medicare & Medicaid Services assigned the 1508965625 to South Valley Dialysis Center on 2006-09-22.
As of what date were the details related to South Valley Dialysis Center most recently updated or revised?
The information pertaining to South Valley Dialysis Center, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-23.
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