BONNEVILLE DIALYSIS CENTER NPI 1851455224

NPI Information

BONNEVILLE DIALYSIS CENTER is a nephrology internal medicine in Ogden, UT. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. BONNEVILLE DIALYSIS CENTER NPI is 1851455224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5575 S 500 E
OGDEN, UT
ZIP 84405-907
Phone: (801) 479-0351
Fax: (801) 476-1766

The provider's authorized official is Steve Sutch .
The authorized official title is Clinical Admin. Manager and has the following contact phone number (801) 587-7606.

The CLIA number assigned to this NPI record is 46D0682195 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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