NPI:
1427722776
Provider Name:
SRS-RIDGECREST
Doing Business As: SRS-RIDGECREST, LLC
Classification:
Clinic/Center - 261QE0700X
Entity Type:
Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
Address:
212 S RICHMOND RD
RIDGECREST, CA
ZIP 93555
Phone:
(615) 988-7881
Get Directions
SRS-RIDGECREST is an end-stage renal disease (esrd) treatment clinic center in Ridgecrest, CA. SRS-RIDGECREST NPI is 1427722776. The provider is registered as an organization entity type.
The provider Is Doing Business As Srs-ridgecrest, Llc.
The provider's business location address is:
212 S RICHMOND RD
RIDGECREST, CA
ZIP 93555-434
Phone: (615) 988-7881
Fax: (855) 631-0206
The provider's authorized official is Jerome S Tannenbaum .
The authorized official title is Chief Executive Officer and has the following contact phone number (615) 467-0140.
The enumeration date for this NPI number is 8/2/2021 and was last updated on 12/12/2023.