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GREATER BAKERSFIELD DIALYSIS CENTER LLC NPI 1700383601


NPI Information

NPI: 1700383601
Provider Name: GREATER BAKERSFIELD DIALYSIS CENTER LLC

Doing Business As: CENTRAL BAKERSFIELD DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2153331

Address:
5101 WHITE LN STE A
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 398-2251
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GREATER BAKERSFIELD DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Bakersfield, CA. GREATER BAKERSFIELD DIALYSIS CENTER LLC NPI is 1700383601. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Bakersfield Dialysis.

The provider's business location address is:

5101 WHITE LN STE A
BAKERSFIELD, CA
ZIP 93309-941
Phone: (661) 398-2251
Fax: (661) 398-2254

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 05D2153331 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2018 and was last updated on 1/10/2023.


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) TreatmentYes

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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