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VALLEY KIDNEY SPECIALISTS PC NPI 1558808287


NPI Information

NPI: 1558808287
Provider Name: VALLEY KIDNEY SPECIALISTS, PC

Doing Business As: AZURA VALLEY ACCESS CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 39D1087304

Address:
2014 CITY LINE RD
SUITE 101
BETHLEHEM, PA
ZIP 18017
Phone: (610) 264-5199
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VALLEY KIDNEY SPECIALISTS, PC is an ambulatory surgical clinic center in Bethlehem, PA. VALLEY KIDNEY SPECIALISTS, PC NPI is 1558808287. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Azura Valley Access Center.

The provider's business location address is:

2014 CITY LINE RD
SUITE 101
BETHLEHEM, PA
ZIP 18017
Phone: (610) 264-5199
Fax: (610) 264-5198

The provider's authorized official is Eric J Fels .
The authorized official title is Medical Director and has the following contact phone number (610) 264-5199.

The CLIA number assigned to this NPI record is 39D1087304 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2017 and was last updated on 8/24/2022.


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
1207RN0300XInternal MedicineNephrologyNo
2207RI0011XInternal MedicineInterventional CardiologyNo
32085R0204XRadiologyVascular & Interventional RadiologyNo
42086S0129XSurgeryVascular SurgeryNo
5261QA1903XClinic/CenterAmbulatory SurgicalYes

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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