South Mountain Dialysis, LLC
NPI #1033159488 in South Jordan, Utah
Provider Information
- NPI Number
- 1033159488
- Entity Type
- Organization
- Organization Name
- South Mountain Dialysis, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 7, 2006
- Last Updated
- Oct 17, 2023
Practice Location
- Address
- 10969 S RIVER FRONT PKWY
- City
- South Jordan
- State
- Utah
- ZIP Code
- 84095-3538
- Phone
- (801) 253-9696
Authorized Official
- Name
- BARRY L. BLANTON
- Title
- VICE PRESIDENT
- Phone
- (781) 699-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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