WYANDOTTE COUNTY DIALYSIS LLC NPI 1518968510

NPI Information

NPI: 1518968510
Provider Name: WYANDOTTE COUNTY DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 17D1018597

Address:
4837 STATE AVE
KANSAS CITY, KS
ZIP 66102
Phone: (913) 287-2828
Get Directions

WYANDOTTE COUNTY DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Kansas City, KS. WYANDOTTE COUNTY DIALYSIS LLC NPI is 1518968510. The provider is registered as an organization entity type.

The provider's business location address is:

4837 STATE AVE
KANSAS CITY, KS
ZIP 66102-747
Phone: (913) 287-2828
Fax: (913) 287-8079

The provider's authorized official is Michael B Lambert .
The authorized official title is President and has the following contact phone number (913) 441-5757.

The CLIA number assigned to this NPI record is 17D1018597 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 1/31/2008.

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	90623019	OTHER		BC/BS OF KANSAS CITY
2	17-2523	MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

NPI Synchronization or Removal

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