ANTHEM DIALYSIS LLC (NPI# 1609353994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609353994 |
| Entity Type | Organization |
| Organization Name | ANTHEM DIALYSIS LLC |
| Practice Address |
520 N Kays Dr Kaysville UT 84037-4129 |
| Mailing Address |
942 Francis Cir Kaysville UT 84037-9661 |
| Practice Telephone | 8019179000 |
| Mailing Telephone | 8019179000 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MARK FLINDERS (OWNER/CEO) |
| Authorized Official Telephone | 8019179000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472R0900X |
Technician, Other Specialization: Renal Dialysis |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
520 N KAYS DR |
| City | KAYSVILLE |
| State | UT |
| Zip Code | 84037-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400247 | Denise Ellen Kearl | Counselor | 283 N 300 W, Ste. 501, Kaysville, UT 84037 | 2019-04-25 |
| 1679060958 | Carrie Marie Nash | Massage Therapist | 307 N 300 W Ste 303, Kaysville, UT 84037 | 2018-04-22 |
| 1679010433 | Nature's Whisper Massage | Massage Therapist | 175 W 200 N, Kaysville, UT 84037 | 2017-01-31 |
| 1184969883 | Dee Milton Marble | Counselor | 845 West 200 North, Kaysville, UT 84037 | 2012-12-06 |
| 1134429384 | Intermountain Medical Monitoring LLC | Anesthesiology | 1306 Deer Crest, Fruit Heights, UT 84037 | 2010-10-21 |
| 1437470143 | Garison Dan Couser | Dentist | 250 West 200 North Suite#2, Kaysville, UT 84037 | 2010-06-16 |
| 1174854392 | Maeli Merrill | Massage Therapist | 302n. Main St., Kaysville, UT 84037 | 2010-01-28 |
| 1760711725 | Home Comfort Care LLC. | Adult Companion | 672 E. 1625 S., Kaysville, UT 84037 | 2009-12-21 |
| 1508195744 | Jacqueline S Silkey | Dermatology | 192 S. Main St, Kaysville, UT 84037 | 2009-12-17 |
| 1336394410 | Michael C Yeates | Family Medicine | 380 North 400 West, Tanner Memorial Clinic, Kaysville, UT 84037 | 2008-11-17 |
| Find all providers in zip 84037 | ||||
| Taxonomy Code | 2472R0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | Renal Dialysis |
| Definition to come... |
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| 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.