SATELLITE HEALTHCARE CHICKASAW GARDENS LLC NPI 1427469634

NPI Information

NPI: 1427469634
Provider Name: SATELLITE HEALTHCARE CHICKASAW GARDENS LLC

Doing Business As: SATELLITE HEALTHCARE CHICKASAW GARDENS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 44D2084330

Address:
2980 POPLAR AVENUE
MEMPHIS, TN
ZIP 38111
Phone: (901) 531-8850
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SATELLITE HEALTHCARE CHICKASAW GARDENS LLC is an end-stage renal disease (esrd) treatment clinic center in Memphis, TN. SATELLITE HEALTHCARE CHICKASAW GARDENS LLC NPI is 1427469634. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Chickasaw Gardens.

The provider's business location address is:

2980 POPLAR AVENUE
MEMPHIS, TN
ZIP 38111-637
Phone: (901) 531-8850
Fax: (650) 625-6477

The provider's authorized official is Bernadette Vincent .
The authorized official title is President/coo and has the following contact phone number (650) 404-3600.

The CLIA number assigned to this NPI record is 44D2084330 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2014 and was last updated on 1/17/2023.

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
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: 4/28/2024

NPI Synchronization or Removal

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