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Contact Information

BONNEVILLE DIALYSIS CENTER
5575 S 500 E
OGDEN, UT84405-6907
 Phone: 801-479-0351
 Fax: 801-476-1766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Renal Dialysis

2472R0900X 75 Slide Preparation Facility
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Nephrology

246ZN0300X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BONNEVILLE DIALYSIS CENTER · (Female)

NPI Number 1851455224
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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