SRS-CRESCENT CITY LLC NPI 1376074559

NPI Information

NPI: 1376074559
Provider Name: SRS-CRESCENT CITY, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
780 E WASHINGTON BLVD
BUILDING B
CRESCENT CITY, CA
ZIP 95531
Phone: (615) 467-0140
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SRS-CRESCENT CITY, LLC is an end-stage renal disease (esrd) treatment clinic center in Crescent City, CA. SRS-CRESCENT CITY, LLC NPI is 1376074559. The provider is registered as an organization entity type.

The provider's business location address is:

780 E WASHINGTON BLVD
BUILDING B
CRESCENT CITY, CA
ZIP 95531-397
Phone: (615) 467-0140

The provider's authorized official is Jerome Tannenbaum .
The authorized official title is Ceo and has the following contact phone number (615) 467-0140.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 11/23/2020.

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: 5/5/2024

NPI Synchronization or Removal

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