| NPI | 1508965625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L HEMMING Program Administrator 801-581-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: UT 2004-ESRD-390) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-10-23 |