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BESSA INC NPI 1477692119


NPI Information

NPI: 1477692119
Provider Name: BESSA, INC

Doing Business As: MT. VIEW DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
209 N 300 W
VERNAL, UT
ZIP 84078
Phone: (435) 781-2335
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BESSA, INC is an end-stage renal disease (esrd) treatment clinic center in Vernal, UT. BESSA, INC NPI is 1477692119. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt. View Dialysis Center.

The provider's business location address is:

209 N 300 W
VERNAL, UT
ZIP 84078-927
Phone: (435) 781-2335
Fax: (435) 781-0153

The provider's authorized official is Edwin C Bulloch .
The authorized official title is Administrator and has the following contact phone number (435) 781-2335.

The enumeration date for this NPI number is 2/6/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentESRD-22801UTAHYes

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
122805000000001OTHERUTAHBXBS PROVIDER #

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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