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FRESENIUS MEDICAL CARE UTAH LLC NPI 1356897961


NPI Information

NPI: 1356897961
Provider Name: FRESENIUS MEDICAL CARE UTAH, LLC

Doing Business As: FRESENIUS KIDNEY CARE WEST SALT LAKE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 46D2120656

Address:
4101 W PIONEER PKWY STE 101
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 966-9978
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FRESENIUS MEDICAL CARE UTAH, LLC is an end-stage renal disease (esrd) treatment clinic center in West Valley City, UT. FRESENIUS MEDICAL CARE UTAH, LLC NPI is 1356897961. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care West Salt Lake.

The provider's business location address is:

4101 W PIONEER PKWY STE 101
WEST VALLEY CITY, UT
ZIP 84120-050
Phone: (801) 966-9978
Fax: (801) 966-6001

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 46D2120656 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 10/19/2023.


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) TreatmentYes

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
146-2549OTHERUTAHPTAN

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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