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FRESENIUS MEDICAL CARE WEST SAHARA LLC NPI 1609217157


NPI Information

NPI: 1609217157
Provider Name: FRESENIUS MEDICAL CARE WEST SAHARA, LLC

Doing Business As: FRESENIUS MEDICAL CARE LAKE MEADE NORTH

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 29D2104178

Address:
1581 MOUNT MARIAH DR STE 100
LAS VEGAS, NV
ZIP 89106
Phone: (702) 647-4089
Get Directions

FRESENIUS MEDICAL CARE WEST SAHARA, LLC is an end-stage renal disease (esrd) treatment clinic center in Las Vegas, NV. FRESENIUS MEDICAL CARE WEST SAHARA, LLC NPI is 1609217157. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Lake Meade North.

The provider's business location address is:

1581 MOUNT MARIAH DR STE 100
LAS VEGAS, NV
ZIP 89106-504
Phone: (702) 647-4089
Fax: (702) 647-4180

The provider's authorized official is Mark Fawcett .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 29D2104178 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 3/21/2024.


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) TreatmentNEVADAYes

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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