FRESENIUS MEDICAL CARE PROVO, LLC (NPI# 1831627223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831627223 |
Entity Type | Organization |
Organization Name | FRESENIUS MEDICAL CARE PROVO, LLC |
Other Organization Name | FRESENIUS KIDNEY CARE UTAH VALLEY |
Practice Address |
135 South Orem Blvd Ste 101 Orem UT 84058-3006 |
Practice Telephone | 8018023852 |
Practice Fax Number | 8018022208 |
Mailing Telephone | 8018023852 |
Mailing Fax Number | 8018022208 |
Enumeration Date | 2017-05-30 |
Last Update Date | 2017-05-30 |
Authorized Official Name | MARK R FAWCETT (SENIOR VP AND TREASURER) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Fresenius Kidney Care Utah Valley | Doing Business As Name - Organization |
Street Address |
135 SOUTH OREM BLVD STE 101 |
City | OREM |
State | UT |
Zip Code | 84058-3006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
Find all providers in zip 84058 |
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 |
---|---|---|---|---|
1053956391 | Hegan Dialysis, LLC | Clinic/Center | 490 S State St, Orem, UT 84058-6302 | 2019-11-11 |
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 |
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 |
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 |
1770962771 | Ihc Health Services Inc | Clinic/Center | 380 E 1500 S Ste 101, Heber City, UT 84032-3941 | 2015-05-22 |
1174833057 | Tooele Mobile Dialysis LLC | Clinic/Center | 1298 E 850 N, Tooele, UT 84074-8914 | 2010-10-13 |
Find all providers with the same taxonomy |
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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.