WHITE EAGLE DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Ponca City, OK. WHITE EAGLE DIALYSIS CENTER NPI is 1649623620. The provider is registered as an organization entity type.
The provider's business location address is:
200 WHITE EAGLE DR
PONCA CITY, OK
ZIP 74601-315
Phone: (580) 765-2501
Fax: (580) 765-6348
The provider's authorized official is Joseph Blan .
The authorized official title is Dialysis Director and has the following contact phone number (580) 765-2501.
The CLIA number assigned to this NPI record is 37D0901496 - other - tribal health center with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/14/2016.