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COMMUNITY DIALYSIS CENTER LLC NPI 1861580086


NPI Information

NPI: 1861580086
Provider Name: COMMUNITY DIALYSIS CENTER LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 03D2156107

Address:
4525 CAMPUS DRIVE
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-5959
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COMMUNITY DIALYSIS CENTER LLC is a nephrology internal medicine in Sierra Vista, AZ. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. COMMUNITY DIALYSIS CENTER LLC NPI is 1861580086. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4525 CAMPUS DRIVE
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-5959

The provider's authorized official is Lucy Burciaga .
The authorized official title is Owner Ceo and has the following contact phone number (520) 459-5959.

The CLIA number assigned to this NPI record is 03D2156107 - other - otc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology5215ARIZONAYes

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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