RITA RANCH DIALYSIS LLC NPI 1619114501

NPI Information

NPI: 1619114501
Provider Name: RITA RANCH DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: RITA RANCH DIALYSIS
CLIA Number: 03D1095861
Address: 7355 S HOUGHTON RD STE 101
TUCSON, AZ
ZIP 85747
Phone: (520) 663-4035

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NPI Details

RITA RANCH DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Tucson, AZ. RITA RANCH DIALYSIS LLC NPI is 1619114501. The provider is registered as an organization entity type.
The provider Is Doing Business As Rita Ranch Dialysis.

The provider's business location address is:

7355 S HOUGHTON RD STE 101
TUCSON, AZ
ZIP 85747-380
Phone: (520) 663-4035
Fax: (520) 663-3826

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 03D1095861 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/16/2015.

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	OTC4770	ARIZONA	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	OTC4770	OTHER	ARIZONA	STATE LICENSE
2	032632	MEDICARE OSCAR/CERTIFICATION	ARIZONA
3	524427	MEDICAID	ARIZONA

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: 3/30/2025

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