OrganizationActive
Bonneville Dialysis Center
NPI 1003915513 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ogden, UT
Provider details
- NPI number
- 1003915513
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Steven Hemming, Program Administrator
- License
- 2004-ESRD-389 (UT)
Practice location
5575 S 500 E
Ogden, UT 84405-6907
Phone: (801) 479-0351
Fax: (801) 476-1766
Mailing address
Po Box 27071
Salt Lake City, UT 84127-0071
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2007-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.