Kolff Dialysis Center University of Utah

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

2004-ESRD-226 Issued in UT

Legal business name

KOLFF DIALYSIS CENTER UNIVERSITY OF UTAH

Doing business as

University of Utah

Practice address

423 S Wakara Way
Suite 200
Salt Lake City, UT 84108-1242

Phone

(801) 581-7659

Fax

(801) 585-7911

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven L. Hemming

Title

Director/Ceo

Phone

(801) 581-3659

Specialties & licenses 1

Addresses

Other names 1

• University of Utah Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of Utah

  • Home Infusion Therapy Pharmacy
  • Murray, UT
  • NPI 1306883954

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1326147422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27071",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841277071",
            "telephone_number": "801-581-7659",
            "fax_number": "801-585-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S WAKARA WAY",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081242",
            "telephone_number": "801-581-7659",
            "fax_number": "801-585-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLFF DIALYSIS CENTER UNIVERSITY OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "HEMMING",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "801-581-3659",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "UT",
            "license": "2004-ESRD-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinodhini Kolandavelu, PA-C
• Kaydence Kolba
• Jana Kolc, M.D.
• Brandi Kolditz, CSW
• Mitchell R. Koles, PH.D.
• Robin Elizabeth Kolff, PT
• Caroline Susan Koli
• Naa Koli
• Antigoni Koliopoulou, M.D.
• Ashleigh Ann Kolkena

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.