Organization
ASCENT HEALTH SERVICES LLC
Active
Other names
Bridge Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA R EDWARDS (LICENSING MANAGER)
(469) 636-5055
Entity
Organization
Contact information
Practice address
1213 FLINT MEADOW DR STE 1C, KAYSVILLE, UT 84037-6833
(385) 420-7500
Mailing address
29222 RANCHO VIEJO RD STE 127, SAN JUAN CAPISTRANO, CA 92675-1049
(949) 426-3767
(949) 540-1966
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
06/15/2023
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