SATELLITE DIALYSIS-CENTRAL MODESTO LLC NPI 1609847581

NPI Information

SATELLITE DIALYSIS-CENTRAL MODESTO LLC is an end-stage renal disease (esrd) treatment clinic center in Modesto, CA. SATELLITE DIALYSIS-CENTRAL MODESTO LLC NPI is 1609847581. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Central Modesto.

The provider's business location address is:

1315 10TH ST
SUITE 300
MODESTO, CA
ZIP 95354-714
Phone: (209) 238-4087
Fax: (209) 238-4092

The provider's authorized official is Susan L Del Bene .
The authorized official title is Secretary/cfo and has the following contact phone number (650) 404-3618.

The CLIA number assigned to this NPI record is 05D1029490 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 12/29/2016.

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.