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IRON MISSION DIALYSIS CENTER NPI 1336248855


NPI Information

NPI: 1336248855
Provider Name: IRON MISSION DIALYSIS CENTER

Doing Business As: UNIVERSITY OF UTAH

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 46D0995227

Address:
1277 NORTHFIELD RD
CEDAR CITY, UT
ZIP 84720
Phone: (435) 867-8175
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IRON MISSION DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Cedar City, UT. IRON MISSION DIALYSIS CENTER NPI is 1336248855. 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:

1277 NORTHFIELD RD
CEDAR CITY, UT
ZIP 84720-917
Phone: (435) 867-8175
Fax: (435) 865-6379

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 46D0995227 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentUTAHYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1462528MEDICARE ID-TYPE UNSPECIFIEDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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