DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SRS-PROVO, LLC

Active Organization

End-Stage Renal Disease Treatment Facility · PROVO, UT

Registration Details

NPI Number
1679147904
Provider Type
Organization
NPI Issued
May 20, 2021 (4.9246689712452 yrs)
Last Updated
May 21, 2021

Practice Information

Address
1675 N FREEDOM BLVD
PROVO, UT, 846042540
Browse UT providers · Browse ZIP 84604
Phone
8888817854
Fax
8856310206

Other End-Stage Renal Disease Treatment Facility Organizations in PROVO, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.