JOHNSON COUNTY DIALYSIS INC NPI 1033110036

NPI Information

NPI: 1033110036
Provider Name: JOHNSON COUNTY DIALYSIS INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 17D1087870

Address:
10405 W 84TH TER
LENEXA, KS
ZIP 66214
Phone: (913) 492-2044
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JOHNSON COUNTY DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Lenexa, KS. JOHNSON COUNTY DIALYSIS INC NPI is 1033110036. The provider is registered as an organization entity type.

The provider's business location address is:

10405 W 84TH TER
LENEXA, KS
ZIP 66214-641
Phone: (913) 492-2044
Fax: (913) 492-2451

The provider's authorized official is Michael B Lambert .
The authorized official title is Secretary and has the following contact phone number (913) 441-5757.

The CLIA number assigned to this NPI record is 17D1087870 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 1/31/2008.

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	90237013	OTHER		BC/BS OF KANSAS CITY
2	17-2501	MEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

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