Organization
LIBERTY DIALYSIS-WEBER COUNTY, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
SOUTH OGDEN HOME
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
475 40TH ST STE 110, SOUTH OGDEN, UT 84403-1856
(801) 627-2886
(801) 621-1570
Mailing address
475 40TH ST STE 110, SOUTH OGDEN, UT 84403-1856
(801) 627-2886
(801) 621-1570
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462547
PTAN
UT
Enumeration date
09/03/2015
Last updated
10/19/2023
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