SATELLITE HEALTHCARE CENTRAL STATES LLC NPI 1023103819

NPI Information

SATELLITE HEALTHCARE CENTRAL STATES LLC is an end-stage renal disease (esrd) treatment clinic center in Austin, TX. SATELLITE HEALTHCARE CENTRAL STATES LLC NPI is 1023103819. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Southwood.

The provider's business location address is:

1701 W BEN WHITE BLVD
STE 180
AUSTIN, TX
ZIP 78704-680
Phone: (512) 383-0300
Fax: (512) 707-1053

The provider's authorized official is Susan L Del Bene .
The authorized official title is Secretary/cfo and has the following contact phone number (650) 404-3618.

The CLIA number assigned to this NPI record is 45D0951854 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/30/2016.

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

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

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