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REDROCK RENAL GROUP LLC NPI 1144477498


NPI Information

NPI: 1144477498
Provider Name: REDROCK RENAL GROUP LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5751 S FORT APACHE RD
SUITE 1110
LAS VEGAS, NV
ZIP 89148
Phone: (702) 586-0007
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REDROCK RENAL GROUP LLC is a clinic center in Las Vegas, NV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REDROCK RENAL GROUP LLC NPI is 1144477498. The provider is registered as an organization entity type.

The provider's business location address is:

5751 S FORT APACHE RD
SUITE 1110
LAS VEGAS, NV
ZIP 89148-624
Phone: (702) 586-0007
Fax: (702) 586-0009

The provider's authorized official is Galen Robert Bennett .
The authorized official title is Ceo / Administrator and has the following contact phone number (702) 586-0007.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 8/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center2000115.426NEVADAYes

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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