BELLEVUE DIALYSIS LLC NPI 1427307602

NPI Information

NPI: 1427307602
Provider Name: BELLEVUE DIALYSIS LLC

Doing Business As: HORIZON DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2048343

Address:
2222 GREENHOUSE RD
HOUSTON, TX
ZIP 77084
Phone: (281) 829-5941
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BELLEVUE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Houston, TX. BELLEVUE DIALYSIS LLC NPI is 1427307602. The provider is registered as an organization entity type.
The provider Is Doing Business As Horizon Dialysis.

The provider's business location address is:

2222 GREENHOUSE RD
HOUSTON, TX
ZIP 77084-287
Phone: (281) 829-5941
Fax: (281) 829-1304

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 45D2048343 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 11/4/2021.

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

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	3416166-01	MEDICAID	TEXAS

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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