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MASHERO DIALYSIS LLC NPI 1467843144


NPI Information

NPI: 1467843144
Provider Name: MASHERO DIALYSIS LLC

Doing Business As: MONTANA VISTA DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2204 JOE BATTLE BLVD STE A
EL PASO, TX
ZIP 79938
Phone: (915) 849-8374
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MASHERO DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in El Paso, TX. MASHERO DIALYSIS LLC NPI is 1467843144. The provider is registered as an organization entity type.
The provider Is Doing Business As Montana Vista Dialysis.

The provider's business location address is:

2204 JOE BATTLE BLVD STE A
EL PASO, TX
ZIP 79938-660
Phone: (915) 849-8374
Fax: (915) 849-8301

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 enumeration date for this NPI number is 2/17/2015 and was last updated on 1/19/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110347OTHERTEXASSTATE LICENSE
23844276-01MEDICAIDTEXAS

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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