South Ogden Home

LBN: Liberty Dialysis-Weber County, Llc
South Ogden Home is an health care organization with primary practice located at 475 40Th St Ste 110 , South Ogden UT 84403-1856. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Liberty Dialysis-Weber County, Llc can be contacted via phone (801) 627-2886, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
475 40Th St Ste 110 South Ogden UT 84403-1856
Phone: (801) 627-2886
Fax: (801) 621-1570
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X Utah

Profile Details

NPI number 1770951030
LBN Legal business name Liberty Dialysis-Weber County, Llc
DBA Doing business as South Ogden Home
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 3rd, 2015
Last updated Oct 19th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770951030 NPPES
Utah Other 462547 PTAN

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