Organization
BONNEVILLE DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SUTCH (CLINICAL ADMIN. MANAGER)
(801) 587-7606
Entity
Organization
Contact information
Practice address
5575 S 500 E, OGDEN, UT 84405-6907
(801) 479-0351
(801) 476-1766
Mailing address
PO BOX 27071, SALT LAKE CITY, UT 84127-0071
(801) 581-8578
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
246ZN0300X
Nephrology Specialist/Technologist
—
—
2472R0900X
Renal Dialysis Technician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/20/2006
Last updated
09/11/2025
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