UNIVERSITY OF UTAH – NPI #1003915513
Clinic/Center
UNIVERSITY OF UTAH is an AHC clinic located in OGDEN, UT. NPPES has assigned the NPI number 1003915513 to UNIVERSITY OF UTAH on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UNIVERSITY OF UTAH” is a dba name, the actual legal business name for this organization is BONNEVILLE DIALYSIS CENTER. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was previously updated about 19 years ago on Sep 11, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNIVERSITY OF UTAH below.
NPI Profile for
BONNEVILLE DIALYSIS CENTER
(more than 19 years ago)
OGDEN, UT 84405-6907 Phone: (801) 479-0351 Fax: (801) 476-1766
SALT LAKE CITY, UT 84127-0071 Phone: (801) 581-8578 Fax: (801) 476-1766
PROGRAM ADMINISTRATOR
Phone: (801) 581-8573
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
UT | 2004-ESRD-389 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.