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SAKDC - DAVITA DIALYSIS PARTNERS LP NPI 1306112990


NPI Information

NPI: 1306112990
Provider Name: SAKDC - DAVITA DIALYSIS PARTNERS LP

Doing Business As: SEGUIN DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2042494

Address:
618 E COURT ST
SEGUIN, TX
ZIP 78155
Phone: (830) 372-2521
Get Directions

SAKDC - DAVITA DIALYSIS PARTNERS LP is an end-stage renal disease (esrd) treatment clinic center in Seguin, TX. SAKDC - DAVITA DIALYSIS PARTNERS LP NPI is 1306112990. The provider is registered as an organization entity type.
The provider Is Doing Business As Seguin Dialysis.

The provider's business location address is:

618 E COURT ST
SEGUIN, TX
ZIP 78155-714
Phone: (830) 372-2521
Fax: (830) 372-1384

The provider's authorized official is Samuel Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 45D2042494 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 9/13/2023.


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

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
13256497-01MEDICAIDTEXAS

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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