Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in West Bountiful, UT

Organization Clinic/Center End-Stage Renal Disease (ESRD) Treatment CLIA Number 46D0944762 CLIA Certificate of Waiver Overall Rating


West Bountiful Dialysis is a provider established in West Bountiful, Utah specializing in Clinic/center with a focus in end-stage renal disease (esrd) treatment . The NPI number of West Bountiful Dialysis is 1629032610 and was assigned on April 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 2017-ESRD-928 (UT). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as West Bountiful Dialysis. The authorized official of this NPI record is John Winstel (Chief Accounting Officer)

Provider Location Address724 W 500 S STE 300 WEST BOUNTIFUL, UT 84087
Provider Mailing Address5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Name TypeDoing Business As (3)
Enumeration Date04-14-2006
Last Update Date07-15-2020

According to the Dialysis Facility Compare program data, West Bountiful Dialysis has a much above average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 5 out of 5 stars.

The CLIA number of West Bountiful Dialysis is 46D0944762 registered as a "end stage renal disease dialysis" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to West Bountiful Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Primary Taxonomy

Taxonomy Code261QE0700X
TypeAmbulatory Health Care Facilities
SpecializationEnd-Stage Renal Disease (ESRD) Treatment
License No.2017-ESRD-928
License StateUT

Business Address

724 W 500 S
STE 300
ZIP 84087
Phone: (801) 296-9091
Fax: (801) 296-9094

Get Directions

Mailing Address

ZIP 37027
Phone: (615) 341-6814
Fax: (800) 293-8405

Authorized Official

Authorized Official Name JOHN WINSTEL
Authorized Official Phone(253) 733-4501

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 5 out of 5 stars - A Much Above Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDAVITA
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
Certification or Recertification Date04-30-1998

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1629032610 is:

CLIA Number46D0944762
Certificate TypeCertificate of Waiver

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
870570546015MEDICAID (05)UT

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 0 + 3 + 4 + 6 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.

The NPI number 1629032610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
West Bountiful Dialysis is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.