WEST BOUNTIFUL DIALYSIS – NPI #1629032610
Clinic/Center
WEST BOUNTIFUL DIALYSIS is an AHC clinic located in WEST BOUNTIFUL, UT. NPPES has assigned the NPI number 1629032610 to WEST BOUNTIFUL DIALYSIS on April 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WEST BOUNTIFUL DIALYSIS” is a dba name, the actual legal business name for this organization is TOTAL RENAL CARE INC. 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 6 years ago on Jul 15, 2020. 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 WEST BOUNTIFUL DIALYSIS below.
NPI Profile for
TOTAL RENAL CARE INC
(more than 20 years ago)
STE 300
WEST BOUNTIFUL, UT 84087 Phone: (801) 296-9091 Fax: (801) 296-9094
L&C DEPT
BRENTWOOD, TN 37027-7569 Phone: (615) 341-6814 Fax: (800) 293-8405
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for WEST BOUNTIFUL DIALYSIS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | UT | 870570546015 |
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 | 2017-ESRD-928 |
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.