NRA ADA OKLAHOMA LLC NPI 1083651806

NPI Information

NRA ADA OKLAHOMA LLC is an end-stage renal disease (esrd) treatment clinic center in Ada, OK. NRA ADA OKLAHOMA LLC NPI is 1083651806. The provider is registered as an organization entity type.
The provider Is Doing Business As Ada Dialysis Center.

The provider's business location address is:

324 NW J.A. RICHARDSON LOOP
ADA, OK
ZIP 74820-017
Phone: (580) 421-9131
Fax: (580) 421-9135

The provider's authorized official is Mark R Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 6/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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