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BRETTON DIALYSIS LLC NPI 1033622337


NPI Information

NPI: 1033622337
Provider Name: BRETTON DIALYSIS LLC

Doing Business As: THE DISTRICT DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 29D2262202

Address:
2300 CORPORATE CIR STE 100
HENDERSON, NV
ZIP 89074
Phone: (702) 487-5576
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BRETTON DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Henderson, NV. BRETTON DIALYSIS LLC NPI is 1033622337. The provider is registered as an organization entity type.
The provider Is Doing Business As The District Dialysis.

The provider's business location address is:

2300 CORPORATE CIR STE 100
HENDERSON, NV
ZIP 89074-725
Phone: (702) 487-5576
Fax: (702) 834-3059

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 29D2262202 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 10/26/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1250000179MEDICAIDNEVADA

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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