HANFORD DIALYSIS LLC NPI 1811178080

NPI Information

NPI: 1811178080
Provider Name: HANFORD DIALYSIS LLC

Doing Business As: HANFORD AT HOME DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
900 N DOUTY ST
HANFORD, CA
ZIP 93230
Phone: (559) 587-9014
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HANFORD DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Hanford, CA. HANFORD DIALYSIS LLC NPI is 1811178080. The provider is registered as an organization entity type.
The provider Is Doing Business As Hanford At Home Dialysis.

The provider's business location address is:

900 N DOUTY ST
HANFORD, CA
ZIP 93230-918
Phone: (559) 587-9014
Fax: (559) 587-9285

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Dir Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 05D1080088 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 8/18/2023.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811178080	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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