CHATTANOOGA KIDNEY CENTERS LLC NPI 1265411300

NPI Information

NPI: 1265411300
Provider Name: CHATTANOOGA KIDNEY CENTERS, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2118 STEIN DRIVE
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 648-4900
Get Directions

CHATTANOOGA KIDNEY CENTERS, LLC is an end-stage renal disease (esrd) treatment clinic center in Chattanooga, TN. CHATTANOOGA KIDNEY CENTERS, LLC NPI is 1265411300. The provider is registered as an organization entity type.

The provider's business location address is:

2118 STEIN DRIVE
CHATTANOOGA, TN
ZIP 37421-691
Phone: (423) 648-4900
Fax: (423) 648-4906

The provider's authorized official is Mandeep Grewal .
The authorized official title is Administrator and has the following contact phone number (423) 648-4900.

The enumeration date for this NPI number is 1/16/2006 and was last updated on 8/3/2015.

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	0000000138	TENNESSEE	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		TENNESSEE	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	442651	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE PROVIDER NUMBER
2	003118324A	MEDICAID	GEORGIA
3	0442651	MEDICAID	TENNESSEE

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

NPI Synchronization or Removal

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