Organization
ANTHEM DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FLINDERS (OWNER/CEO)
(801) 917-9000
Entity
Organization
Contact information
Practice address
1213 FLINT MEADOW DR STE 1B, KAYSVILLE, UT 84037-6833
(385) 420-7500
(385) 420-7501
Mailing address
942 FRANCIS CIR, KAYSVILLE, UT 84037-9661
(801) 917-9000
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609353994
—
UT
Enumeration date
07/19/2018
Last updated
03/14/2022
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