BRIGHT KIDNEY CARE LLC NPI 1821568627

NPI Information

NPI: 1821568627
Provider Name: BRIGHT KIDNEY CARE LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D0984200

Address:
2000 HARTMAN RD STE 2
FORT PIERCE, FL
ZIP 34947
Phone: (772) 467-1117
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BRIGHT KIDNEY CARE LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Pierce, FL. BRIGHT KIDNEY CARE LLC NPI is 1821568627. The provider is registered as an organization entity type.

The provider's business location address is:

2000 HARTMAN RD STE 2
FORT PIERCE, FL
ZIP 34947-412
Phone: (772) 467-1117
Fax: (772) 595-9340

The provider's authorized official is Shari K Cousins .
The authorized official title is Sr. Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The CLIA number assigned to this NPI record is 10D0984200 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2018 and was last updated on 3/16/2020.

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			Yes

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: 11/14/2023

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