Organization
FRESENIUS MEDICAL CARE UTAH, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE WEST SALT LAKE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
4101 W PIONEER PKWY STE 101, WEST VALLEY CITY, UT 84120-2050
(801) 966-9978
(801) 966-6001
Mailing address
4101 W PIONEER PKWY STE 101, WEST VALLEY CITY, UT 84120-2050
(801) 966-9978
(801) 966-6001
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-2549
PTAN
UT
Enumeration date
09/01/2016
Last updated
10/19/2023
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