FRESENIUS KIDNEY CARE CONCHO VALLEY LLC NPI 1992391247

NPI Information

NPI: 1992391247
Provider Name: FRESENIUS KIDNEY CARE CONCHO VALLEY, LLC

Doing Business As: FRESENIUS KIDNEY CARE RED ARROYO

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2207608

Address:
3417 SHERWOOD WAY
SAN ANGELO, TX
ZIP 76901
Phone: (325) 284-3960
Get Directions

FRESENIUS KIDNEY CARE CONCHO VALLEY, LLC is an end-stage renal disease (esrd) treatment clinic center in San Angelo, TX. FRESENIUS KIDNEY CARE CONCHO VALLEY, LLC NPI is 1992391247. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Red Arroyo.

The provider's business location address is:

3417 SHERWOOD WAY
SAN ANGELO, TX
ZIP 76901-530
Phone: (325) 284-3960
Fax: (325) 400-0036

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 45D2207608 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 10/23/2023.

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

What is NPI?

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

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