SAN JUAN REGIONAL KIDNEY CARELLC NPI 1821744806

NPI Information

NPI: 1821744806
Provider Name: SAN JUAN REGIONAL KIDNEY CARE,LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 32D2264647

Address:
735 W ANIMAS ST STE B
FARMINGTON, NM
ZIP 87401
Phone: (505) 278-8575
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SAN JUAN REGIONAL KIDNEY CARE,LLC is an end-stage renal disease (esrd) treatment clinic center in Farmington, NM. SAN JUAN REGIONAL KIDNEY CARE,LLC NPI is 1821744806. The provider is registered as an organization entity type.

The provider's business location address is:

735 W ANIMAS ST STE B
FARMINGTON, NM
ZIP 87401-616
Phone: (505) 278-8575
Fax: (505) 787-2399

The provider's authorized official is Manish Pandya .
The authorized official title is Provider and has the following contact phone number (505) 278-8575.

The CLIA number assigned to this NPI record is 32D2264647 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2022 and was last updated on 3/8/2022.

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: 4/28/2024

NPI Synchronization or Removal

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