CADDOAN DIALYSIS LLC NPI 1306381942

NPI Information

NPI: 1306381942
Provider Name: CADDOAN DIALYSIS LLC

Doing Business As: MISSION DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2852 W 47TH AVE
KANSAS CITY, KS
ZIP 66103
Phone: (913) 403-1843
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CADDOAN DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Kansas City, KS. CADDOAN DIALYSIS LLC NPI is 1306381942. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission Dialysis.

The provider's business location address is:

2852 W 47TH AVE
KANSAS CITY, KS
ZIP 66103-243
Phone: (913) 403-1843
Fax: (913) 403-1848

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 17D2131539 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2017 and was last updated on 10/22/2019.

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			Yes

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: 11/14/2023

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