KOLFF DIALYSIS CENTER UNIVERSITY OF UTAH (NPI# 1326147422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326147422 |
Entity Type | Organization |
Organization Name | KOLFF DIALYSIS CENTER UNIVERSITY OF UTAH |
Other Organization Name | UNIVERSITY OF UTAH |
Practice Address |
423 S Wakara Way Suite 200 Salt Lake City UT 84108-1242 |
Mailing Address |
Po Box 27071 Salt Lake City UT 84127-7071 |
Practice Telephone | 8015817659 |
Practice Fax Number | 8015857911 |
Mailing Telephone | 8015817659 |
Mailing Fax Number | 8015859342 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2014-12-15 |
Authorized Official Name | MR. STEVEN L. HEMMING (DIRECTOR/CEO) |
Authorized Official Telephone | 8015813659 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
2004-ESRD-226 | UT | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
University of Utah | Doing Business As Name - Organization |
Street Address |
423 S WAKARA WAY SUITE 200 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84108-1242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376880682 | Mallory R Sdano | Genetic Counselor, MS | 423 S Wakara Way, Suite 200, Salt Lake City, UT 84108-1242 | 2013-01-07 |
1922345453 | Rena Jean Vanzo | Genetic Counselor, MS | 423 S Wakara Way, Suite 200, Salt Lake City, UT 84108-1242 | 2013-01-03 |
1114263647 | Megan Marie Martin | Genetic Counselor, MS | 423 S Wakara Way, Suite 200, Salt Lake City, UT 84108-1242 | 2013-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
Find all providers in zip 84108 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447620836 | Deseret Peak Dialysis | Clinic/Center | 3333 S 900 E, Ste 130, Salt Lake City, UT 84106-2087 | 2015-09-29 |
1235535485 | Ihc Health Services Inc | Clinic/Center | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-17 |
1376697334 | Ihc Health Services, Inc. | Clinic/Center | 1000 S Main St, Suite 105, Salt Lake City, UT 84101-3175 | 2007-01-23 |
1235238379 | Intermountain Pediatric Dialysis | Clinic/Center | 50 N Medical Dr, Pa 220, Salt Lake City, UT 84132-0001 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710587571 | Bmh Kidney Care LLC | Clinic/Center | 802 S 200 W Ste B, Blanding, UT 84511-3910 | 2020-10-29 |
1053956391 | Hegan Dialysis, LLC | Clinic/Center | 490 S State St, Orem, UT 84058-6302 | 2019-11-11 |
1811554124 | Pomme Dialysis, LLC | Clinic/Center | 1250 W Sandalwood Dr, Lehi, UT 84043-4615 | 2019-05-22 |
1992223556 | Wakonda Dialysis LLC | Clinic/Center | 555 W State Road 164 Ste 101, Salem, UT 84653-5732 | 2017-09-05 |
1831627223 | Fresenius Medical Care Provo, LLC | Clinic/Center | 135 South Orem Blvd, Ste 101, Orem, UT 84058-3006 | 2017-05-30 |
1407394463 | Fresenius Medical Care Pleasant View, LLC | Clinic/Center | 1735 West 2700 North, Farr West, UT 84404-1208 | 2017-02-09 |
1356897961 | Fresenius Medical Care Utah, LLC | Clinic/Center | 4101 W Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2050 | 2016-09-01 |
1770951030 | Liberty Dialysis-weber County, LLC | Clinic/Center | 475 East 40th St, Suite 110, South Ogden, UT 84403-1852 | 2015-09-03 |
1558746727 | Fresenius Medical Care Riverton, LLC | Clinic/Center | 12523 South Meadow Creek Drive, Riverton, UT 84065-7259 | 2015-07-29 |
1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
Find all providers with the same taxonomy |
City | SALT LAKE CITY |
Zip Code | 84108 |
Please comment or provide details below to improve the information on KOLFF DIALYSIS CENTER UNIVERSITY OF UTAH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.