Bonneville Dialysis

LBN: Total Renal Care Inc
Bonneville Dialysis is an health care organization with primary practice located at 5575 S 500 E , Ogden UT 84405-6907. 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. Total Renal Care Inc can be contacted via phone (385) 364-3656, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
5575 S 500 E Ogden UT 84405-6907
Phone: (385) 364-3656
Fax: (385) 364-3657
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1477216323
LBN Legal business name Total Renal Care Inc
DBA Doing business as Bonneville Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2021
Last updated Oct 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477216323 NPPES
Utah MEDICAID 4103475

Popular Providers