Provo Dialysis Center University of Utah
Provo Dialysis Center University of Utah is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
1675 N Freedom BlvdProvo, UT 84604-2540
Phone: (801) 373-0167
Fax: (801) 374-1989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X · Licence 2004-ESRD-228 (UT) |
|---|
Record details
| NPI number | 1194824201 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven Hemming — Program Administrator · (801) 581-8573 |
| Other names | University Of Utah |
| NPI enumerated | September 22, 2006 |
| Last updated in NPPES | May 21, 2014 |
| Mailing address | Po Box 27071, Salt Lake City, UT 84127-0071 |
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Srs-Provo, LLC
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Total Renal Care Inc
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Total Renal Care Inc
1675 N Freedom Blvd, Provo, UT 84604-2540 · (801) 373-0169
-
Total Renal Care Inc
1675 N Freedom Blvd Ste 15, Provo, UT 84604-6909 · (801) 373-0169