HIGH DESERT RENAL PC
NPI 1649089814
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Provo, UT

Q: What is High Desert Renal PC's NPI number?

The NPI number for High Desert Renal PC is 1649089814. It was assigned to this organization in the NPPES registry on January 2, 2025.

Q: What is High Desert Renal PC's specialty?

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

Active since January 02, 2025

1675 N FREEDOM BLVD STE 15, PROVO, UT 84604(855) 759-7365 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About High Desert Renal Pc NPPES

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

HIGH DESERT RENAL PC (NPI 1649089814) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Provo, Utah and active in the NPI registry since January 2025. The organization maintains 2 additional practice locations and lists Pace Romney, Owner, as its authorized official.

NPPES Registry Identity

NPI1649089814

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameHIGH DESERT RENAL PC

Location Address1675 N FREEDOM BLVD STE 15Provo, UT 84604-6909

Mailing Address1751 E Auburn Ridge LnDraper, UT 84020-5514

Phone(855) 759-7365

Organization SubpartNo

Authorized OfficialPace RomneyOwner · (208) 705-3002

Enumeration DateJanuary 2, 2025

NPPES CertifiedJanuary 2, 2025

✔ NPI 1649089814 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

1675 N FREEDOM BLVD STE 15, Provo, UT 84604

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Secondary Practice Locations 2

Location 115 S 1000 E Ste 50Payson, UT 84651-5591 · Phone (888) 883-6407

Location 21159 E 200 N Ste 150American Fork, UT 84003-2052 · Phone (888) 893-7783

Other Providers at the Same Location NPPES

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

TOTAL RENAL CARE INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1675 N FREEDOM BLVD STE 15
PROVO, UT 84604

Utah County (801) 373-0169

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 High Desert Renal PC's NPI number?

The NPI number for High Desert Renal PC is 1649089814. It was assigned to this organization in the NPPES registry on January 2, 2025.

Where is High Desert Renal PC located?

High Desert Renal PC is located at 1675 N Freedom Blvd Ste 15, Provo, UT 84604. The listed phone number is (855) 759-7365.

What is High Desert Renal PC's specialty?

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

When was this NPI record last updated?

The NPPES record for High Desert Renal PC was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.