Organization Name: | PLEASANT VIEW DIALYSIS |
NPI Number: | 1609058528 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN L. HEMMING (PROGRAM ADMINISTRATOR) |
Mailing Address: | 2715 N Hwy 89 Pleasant View |
State: | UT US |
Postal Code: | 84414 |
Phone Number: | 8015818578 |
Fax Number: | 8015814750 |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |