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DELANO KIDNEY CENTER LLC NPI 1700230430


NPI Information

NPI: 1700230430
Provider Name: DELANO KIDNEY CENTER LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2122025

Address:
1980 CECIL AVE
DELANO, CA
ZIP 93215
Phone: (661) 721-2830
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DELANO KIDNEY CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Delano, CA. DELANO KIDNEY CENTER LLC NPI is 1700230430. The provider is registered as an organization entity type.

The provider's business location address is:

1980 CECIL AVE
DELANO, CA
ZIP 93215-513
Phone: (661) 721-2830
Fax: (661) 721-2840

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 05D2122025 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2016 and was last updated on 1/14/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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