South Mountain Dialysis, Llc

LBN: South Mountain Dialysis, Llc
South Mountain Dialysis, Llc is an health care organization with primary practice located at 10969 S River Front Pkwy , South Jordan UT 84095-3538. 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. South Mountain Dialysis, Llc can be contacted via phone (801) 253-9696, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
10969 S River Front Pkwy South Jordan UT 84095-3538
Phone: (801) 253-9696
Fax: (801) 253-3303
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

Profile Details

NPI number 1033159488
LBN Legal business name South Mountain Dialysis, Llc
DBA Doing business as South Mountain Dialysis, Llc
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 7th, 2006
Last updated Oct 17th, 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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