BONNEVILLE DIALYSIS CENTER

OGDEN, UT
NPI1851455224
Entity TypeOrganization
Authorized ContactSTEVE SUTCH
Clinical Admin. Manager
801-587-7606
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Additional Taxonomies246ZN0300X Specialist/Technologist, Other, Nephrology
2472R0900X 
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2006-12-20
Last Update Date2020-08-22
Business Address
BONNEVILLE DIALYSIS CENTER
5575 S 500 E
OGDEN, UT 84405-6907
Phone number: 801-479-0351
Mailing Address
BONNEVILLE DIALYSIS CENTER
PO BOX 27071
SALT LAKE CITY, UT 84127-0071
Phone number: 801-581-8578