ANTHEM DIALYSIS LLC – NPI #1609353994
Technician, Other

ANTHEM DIALYSIS LLC is a technician located in KAYSVILLE, UT. NPPES has assigned the NPI number 1609353994 to ANTHEM DIALYSIS LLC on July 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2472R0900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Other, specializing in Renal Dialysis

The NPI profile was previously updated about 4 years ago on Mar 14, 2022. 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 ANTHEM DIALYSIS LLC below.

NPI Profile for
ANTHEM DIALYSIS LLC

NPI Number
1609353994
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANTHEM DIALYSIS LLC
Primary location
1213 FLINT MEADOW DR STE 1B
KAYSVILLE, UT 84037-6833
Phone: (385) 420-7500 Fax: (385) 420-7501
Mailing address
942 FRANCIS CIR
KAYSVILLE, UT 84037-9661
Phone: (801) 917-9000 Fax:
Organization Subpart
No
Authorized Official
MARK FLINDERS
OWNER/CEO
Phone: (801) 917-9000
Updated
Certification Date
Mar 14, 2022

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

Identifiers for ANTHEM DIALYSIS LLC

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.

DescriptionIssuerStateIdentifier
MEDICAIDUT1609353994
Taxonomy Code(s)

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
2472R0900X
- Technician, Other / Renal Dialysis (Primary)

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.