Provider Type Icon

RITA RANCH DIALYSIS LLC NPI 1619114501


NPI Information

NPI: 1619114501
Provider Name: RITA RANCH DIALYSIS LLC

Doing Business As: RITA RANCH DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 03D1095861

Address:
7355 S HOUGHTON RD STE 101
TUCSON, AZ
ZIP 85747
Phone: (520) 663-4035
Get Directions

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentOTC4770ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OTC4770OTHERARIZONASTATE LICENSE
2032632MEDICARE OSCAR/CERTIFICATIONARIZONA
3524427MEDICAIDARIZONA

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

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.