YELLOWSTONE DIALYSIS CENTER NPI 1316046444

NPI Information

YELLOWSTONE DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Rexburg, ID. YELLOWSTONE DIALYSIS CENTER NPI is 1316046444. The provider is registered as an organization entity type.
The provider Is Doing Business As University Of Utah.

The provider's business location address is:

1165 SUMMERS DR
REXBURG, ID
ZIP 83440-224
Phone: (208) 656-0378

The provider's authorized official is Steven L Hemming .
The authorized official title is Program Administrator and has the following contact phone number (801) 581-8573.

The CLIA number assigned to this NPI record is 13D1046721 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 9/11/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.