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REDROCK RENAL GROUP NPI 1366620601


NPI Information

NPI: 1366620601
Provider Name: REDROCK RENAL GROUP
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
5751 S FORT APACHE RD
SUITE 110
LAS VEGAS, NV
ZIP 89148
Phone: (702) 586-0007
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REDROCK RENAL GROUP is a medical specialty clinic center in Las Vegas, NV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). REDROCK RENAL GROUP NPI is 1366620601. The provider is registered as an organization entity type.

The provider's business location address is:

5751 S FORT APACHE RD
SUITE 110
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 Administrator, Ceo and has the following contact phone number (702) 586-0007.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/8/2008.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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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