462504 SRS-Provo, LLC
Dialysis facility in Provo, UT, Medicare certification number 462504. CMS publishes 13 quality measures for it.
Medicare certification
Provider of Services- CCN
- 462504
- Status
- Active
- Provider type
- End-stage renal disease facility
- Ownership
- Non-profit
- Control type
- Not for Profit
- Participating since
- Apr 5, 1979
- Last certification
- Jan 14, 2021
- Overall star rating
- Multi-facility organization
- University of Utah Dialysis Program
- Most recent change of ownership
- Nov 1, 2021
- Address
- 1675 North Freedom Boulevard
Provo, UT 84604
(801) 373-0167
NPI records for this facility (CCN to NPI Mapping) 1
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Provo, UT
- NPI 1679147904
Name & address match
Quality measures 13
Medicare Care Compare-
Adult haemodialysis patients with adequate dialysis (Kt/V 1.2 or more) 87
-
Adult patients dialysed through a long-term catheter 16
-
Adult patients with hypercalcaemia 5
-
Emergency department visits within 30 days of discharge As expected1.53
-
Hospitalization rate As expected166.4
-
Kidney transplant waitlist ratio, first year As expected0
-
Mortality rate As expected35.5
-
Overall star rating Worse1
-
Patients treated through an arteriovenous fistula As expected63.2
-
Patients waitlisted for a kidney transplant As expected11.5
-
Readmission rate As expected34.5
-
Standardized emergency department visit ratio As expected0.74
-
Standardized modality switch ratio As expected0.68
Affiliated providers 2
Medicare Care CompareClinicians who list this facility as a hospital or facility affiliation in Care Compare.
-
Vishnupriyadevi Parvathareddy, MD
- Nephrology Physician
- Murray, UT
- NPI 1073530549
-
Robert Brown Woolley, MD
- Nephrology Physician
- Provo, UT
- NPI 1104995109
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
- NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.