PROVO DIALYSIS CENTER UNIVERSITY OF UTAH

PROVO, UT
NPI1194824201
Doing Business AsUNIVERSITY OF UTAH
Entity TypeOrganization
Authorized ContactSTEVEN L HEMMING
Program Administrator
801-581-8573
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
(Licence: UT  2004-ESRD-228)
Enumeration Date2006-09-22
Last Update Date2014-05-21
Business Address
PROVO DIALYSIS CENTER UNIVERSITY OF UTAH
1675 N FREEDOM BLVD
PROVO, UT 84604-2540
Phone number: 801-373-0167
Mailing Address
PROVO DIALYSIS CENTER UNIVERSITY OF UTAH
PO BOX 27071
SALT LAKE CITY, UT 84127-0071
Phone number: 801-581-8578