Provider Type Icon

SATELLITE HEALTHCARE CENTRAL STATES LLC NPI 1861584211


NPI Information

NPI: 1861584211
Provider Name: SATELLITE HEALTHCARE CENTRAL STATES LLC

Doing Business As: SATELLITE HEALTHCARE METRIC

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D0951856

Address:
10000 METRIC BLVD
STE 100
AUSTIN, TX
ZIP 78758
Phone: (512) 977-0300
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 1861584211. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Metric.

The provider's business location address is:

10000 METRIC BLVD
STE 100
AUSTIN, TX
ZIP 78758-210
Phone: (512) 977-0300
Fax: (512) 833-8488

The provider's authorized official is Susan L Del Bene .
The authorized official title is Ceo and has the following contact phone number (650) 404-3618.

The CLIA number assigned to this NPI record is 45D0951856 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2006 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) Treatment006777TEXASYes

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
1185969607MEDICAIDTEXAS
2452790MEDICARE OSCAR/CERTIFICATIONTEXAS
3008451OTHERTEXASSTATE OF TEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.