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MONAD DIALYSIS LLC NPI 1063010734


NPI Information

NPI: 1063010734
Provider Name: MONAD DIALYSIS, LLC

Doing Business As: AMERICAN RIVER DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2207124

Address:
5238 MANZANITA AVE
CARMICHAEL, CA
ZIP 95608
Phone: (279) 972-9781
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MONAD DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Carmichael, CA. MONAD DIALYSIS, LLC NPI is 1063010734. The provider is registered as an organization entity type.
The provider Is Doing Business As American River Dialysis.

The provider's business location address is:

5238 MANZANITA AVE
CARMICHAEL, CA
ZIP 95608-510
Phone: (279) 972-9781
Fax: (279) 972-9815

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 05D2207124 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2020 and was last updated on 12/7/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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

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