ANTHEM DIALYSIS LLC NPI 1609353994

NPI Information

NPI: 1609353994
Provider Name: ANTHEM DIALYSIS LLC
Classification: Technician, Other - 2472R0900X
Entity Type: Organization

Specialization: Renal Dialysis

Address:
1213 FLINT MEADOW DR STE 1B
KAYSVILLE, UT
ZIP 84037
Phone: (385) 420-7500
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ANTHEM DIALYSIS LLC is a renal dialysis technician other in Kaysville, UT. ANTHEM DIALYSIS LLC NPI is 1609353994. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1213 FLINT MEADOW DR STE 1B
KAYSVILLE, UT
ZIP 84037-833
Phone: (385) 420-7500
Fax: (385) 420-7501

The provider's authorized official is Mark Flinders .
The authorized official title is Owner/ceo and has the following contact phone number (801) 917-9000.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 3/14/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2472R0900X	Technician, Other	Renal Dialysis			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1609353994	MEDICAID	UTAH

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

NPI Synchronization or Removal

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