OrganizationActive
Intermountain Pediatric Dialysis
NPI 1235238379 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1235238379
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Hemming, Program Administrator(801) 581-8573
- License
- 2006-HOSP-208 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
50 N Medical Dr
PA 220
Salt Lake City, UT 84132-0001
Phone: (801) 581-4561
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27071
Salt Lake City, UT 84127-0071
Other names (DBA / former)
- Doing business as
- University of Utah
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2008-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.