Provo Dialysis Center University Of Utah in Salt Lake City - End-stage Renal Disease (esrd) Treatment
Provo Dialysis Center University Of Utah - NPI 1194824201
Provo Dialysis Center University Of Utah is a End-stage Renal Disease (esrd) Treatment in Salt Lake City, Utah. Provo Dialysis Center University Of Utah practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Provo Dialysis Center University Of Utah is 1194824201. The last update date is 2014-05-21.
Provo Dialysis Center University Of Utah's current location address is Po Box 27071, Salt Lake City, Utah. You can contact this provider via phone number 8015818578 and fax number 8013741989. The mailing address for Provo Dialysis Center University Of Utah is Po Box 27071, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provo Dialysis Center University Of Utah |
|---|---|
| Address | Po Box 27071, Salt Lake City, Utah |
| Phone Number | 8015818578 |
| Fax Number | 8013741989 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM AD |
|---|---|
| Authorized Official Name | Hemming L Steven |
| Telephone Number | 8015818573 |
NPI Number Detail
| NPI Number | 1194824201 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2014-05-21 |
Provider Mailing Address Detail
| Address | Po Box 27071 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270071 |
| Phone Number | 8015818578 |
| Fax Number | 8013741989 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 2004-ESRD-22 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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What is the unique provider identifier assigned to Provo Dialysis Center University Of Utah?
The Provo Dialysis Center University Of Utah has been issued the NPI (National Provider Identifier) 1194824201 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Provo Dialysis Center University Of Utah is physically located?
The Provo Dialysis Center University Of Utah is situated at the following address: Po Box 27071, Salt Lake City, UT 841270071.
What is the Provo Dialysis Center University Of Utah's specialty and taxonomy code?
The Provo Dialysis Center University Of Utah's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
When did Provo Dialysis Center University Of Utah receive its 1194824201 assignment?
The Provo Dialysis Center University Of Utah was assigned its 1194824201 on 2006-09-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Provo Dialysis Center University Of Utah most recently updated or revised?
The information pertaining to Provo Dialysis Center University Of Utah, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-21.