SATELLITE HEALTHCARE INC NPI 1861463770

NPI Information

NPI: 1861463770
Provider Name: SATELLITE HEALTHCARE INC

Doing Business As: SATELLITE HEALTHCARE MODESTO

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3500 COFFEE RD
STE 21
MODESTO, CA
ZIP 95355
Phone: (209) 578-0691
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SATELLITE HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Modesto, CA. SATELLITE HEALTHCARE INC NPI is 1861463770. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Modesto.

The provider's business location address is:

3500 COFFEE RD
STE 21
MODESTO, CA
ZIP 95355-315
Phone: (209) 578-0691
Fax: (209) 578-4479

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 05D0709461 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 12/29/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	110000447	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZR02551F	MEDICAID	CALIFORNIA
2	052531	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
3	110000447	OTHER	CALIFORNIA	STATE OF CALIFORNIA

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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