PACHECO DIALYSIS LLC NPI 1598016305

NPI Information

PACHECO DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Springfield, MO. PACHECO DIALYSIS LLC NPI is 1598016305. The provider is registered as an organization entity type.
The provider Is Doing Business As Springfield North Dialysis.

The provider's business location address is:

1007 E KEARNEY ST
SPRINGFIELD, MO
ZIP 65803-433
Phone: (417) 873-9926
Fax: (417) 865-1602

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 9/20/2012 and was last updated on 3/13/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.