Timpanogos Dialysis Center

LBN: Total Renal Care Inc
Timpanogos Dialysis Center is an health care organization with primary practice located at 1055 N 500 W Ste 222 , Provo UT 84604-3305. 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 (801) 356-8907, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1055 N 500 W Ste 222 Provo UT 84604-3305
Phone: (801) 356-8907
Fax: (801) 356-2481
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 2018-ESRD-44948 Utah

Profile Details

NPI number 1811139561
LBN Legal business name Total Renal Care Inc
DBA Doing business as Timpanogos Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2009
Last updated Jan 19th, 2024 - about 10 months 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 1811139561 NPPES
Utah MEDICAID 1811139561

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