OrganizationActive
South Mountain Dialysis, LLC
NPI 1033159488 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · South Jordan, UT
Provider details
- NPI number
- 1033159488
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fresenius Medical Care Holdings, Inc.
- Authorized official
- Barry Blanton, Vice President
Practice location
10969 S River Front Pkwy
South Jordan, UT 84095-3538
Phone: (801) 253-9696
Fax: (801) 253-3303
Mailing address
10969 S River Front Pkwy
South Jordan, UT 84095-3538
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.