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UNIVERSITY OF UTAH
NPI 1194824201
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Provo, UT

Active since September 22, 2006
1/5
Overall Rating
1675 N FREEDOM BLVD, PROVO, UT 84604(801) 373-0167(801) 374-1989 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About University Of Utah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF UTAH (NPI 1194824201) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Provo, Utah and active in the NPI registry since September 2006. The organization lists Steven L Hemming, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1194824201
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePROVO DIALYSIS CENTER UNIVERSITY OF UTAH
Location Address1675 N FREEDOM BLVDProvo, UT 84604-2540
Mailing AddressPo Box 27071Salt Lake City, UT 84127-0071 · (801) 581-8578 · Fax (801) 374-1989
Phone(801) 373-0167
Fax(801) 374-1989
Organization SubpartNo
Authorized OfficialSteven L HemmingProgram Administrator · (801) 581-8573
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMay 21, 2014
✔ NPI 1194824201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in UT · 2004-ESRD-228
1675 N FREEDOM BLVD, Provo, UT 84604
Open in Google Maps ↗

Other Names 1

Doing Business AsUniversity Of Utah

Other Identifiers 1

Medicare OSCAR/certification462504UT

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for 462504 SRS-Provo, LLC (CMS certification number 462504), from CMS Care Compare.

462504 SRS-Provo, LLC

Dialysis facility · Provo, UT
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
CMS Certification Number462504
ESRD NetworkNetwork 15
Hemodialysis Stations14
Medicare-Certified SinceMarch 25, 1977
Location1675 N FREEDOM BLVD STE 15Provo, UT 84604 · Utah County
Phone(855) 759-7365
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW JOSEPH CLAYTON D.O.
Pediatrics
1675 N FREEDOM BLVD, STE 9C
PROVO, UT 84604
Utah County (801) 377-4800
NEW HORIZON WOMEN'S CARE, LLC
Internal Medicine
1675 N FREEDOM BLVD, SUITE 3
PROVO, UT 84604
Utah County (801) 374-1010
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1675 N FREEDOM BLVD
PROVO, UT 84604
Utah County (801) 373-0169
DR. DAMON MONSON FAUST D.C.
Chiropractor
1675 N FREEDOM BLVD, 7A
PROVO, UT 84604
Utah County (801) 489-1075
KENT BLAD FNP
Nurse Practitioner (Pediatrics)
1675 N FREEDOM BLVD, BLDG 3
PROVO, UT 84604
Utah County (801) 377-8000
DR. DARREN WESLEY GARDNER DDS
Dentist (General Practice)
1675 N FREEDOM BLVD, STE 12A
PROVO, UT 84604
Utah County (801) 374-8970
COURTNEY CARLTON CSW
Social Worker (Clinical)
1675 N FREEDOM BLVD
PROVO, UT 84604
Utah County (385) 225-4904
MRS. ELIZABETH ANN JENSEN PT
Physical Therapist
1675 N FREEDOM BLVD, BUILDING 10B
PROVO, UT 84604
Utah County (801) 885-7624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provo Dialysis Center University Of Utah's NPI number?

The NPI number for Provo Dialysis Center University Of Utah is 1194824201. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as University Of Utah.

Where is Provo Dialysis Center University Of Utah located?

Provo Dialysis Center University Of Utah is located at 1675 N Freedom Blvd, Provo, UT 84604. The listed phone number is (801) 373-0167.

What is Provo Dialysis Center University Of Utah's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Provo Dialysis Center University Of Utah a Medicare-certified dialysis facility?

Yes. 462504 SRS-Provo, LLC is a Medicare-certified dialysis facility, certified since March 25, 1977.

What quality rating does Provo Dialysis Center University Of Utah have?

CMS rates 462504 SRS-Provo, LLC 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Provo Dialysis Center University Of Utah was last updated on May 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.