RENAL TREATMENT CENTERS WEST INC NPI 1821050295

NPI Information

NPI: 1821050295
Provider Name: RENAL TREATMENT CENTERS WEST INC

Doing Business As: SCOTTSBLUFF DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
820 W 42ND ST STE 1600
SCOTTSBLUFF, NE
ZIP 69361
Phone: (308) 220-3572
Get Directions

RENAL TREATMENT CENTERS WEST INC is an end-stage renal disease (esrd) treatment clinic center in Scottsbluff, NE. RENAL TREATMENT CENTERS WEST INC NPI is 1821050295. The provider is registered as an organization entity type.
The provider Is Doing Business As Scottsbluff Dialysis Center.

The provider's business location address is:

820 W 42ND ST STE 1600
SCOTTSBLUFF, NE
ZIP 69361-017
Phone: (308) 220-3572
Fax: (308) 220-3592

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

The CLIA number assigned to this NPI record is 06D0710880 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 2/27/2024.

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	ESRD017	NEBRASKA	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	166123700	MEDICAID	WYOMING
2	17432383	MEDICAID	COLORADO

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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