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SATELLITE HEALTHCARE CENTRAL STATES LLC NPI 1790123768


NPI Information

NPI: 1790123768
Provider Name: SATELLITE HEALTHCARE CENTRAL STATES LLC

Doing Business As: SATELLITE HEALTHCARE OF SOUTH AUSTIN

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2069727

Address:
10001 S IH 35
BLDG 1 SUITE100
AUSTIN, TX
ZIP 78747
Phone: (512) 282-8500
Get Directions

SATELLITE HEALTHCARE CENTRAL STATES LLC is an end-stage renal disease (esrd) treatment clinic center in Austin, TX. SATELLITE HEALTHCARE CENTRAL STATES LLC NPI is 1790123768. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Of South Austin.

The provider's business location address is:

10001 S IH 35
BLDG 1 SUITE100
AUSTIN, TX
ZIP 78747-701
Phone: (512) 282-8500
Fax: (512) 280-2963

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 45D2069727 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2013 and was last updated on 12/30/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1110231OTHERTEXASSTATE OF TEXAS
2672735MEDICARE OSCAR/CERTIFICATIONTEXAS

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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