ARDMORE DIALYSIS RANCH INC NPI 1992037626

NPI Information

  • NPI: 1992037626
  • Provider Name: ARDMORE DIALYSIS RANCH, INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • CLIA Number: 37D2055160
  • Address: 2617 CROSSROADS DR
    ARDMORE, OK
    ZIP 73401
  • Phone: (580) 490-9844

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NPI Details

ARDMORE DIALYSIS RANCH, INC is an end-stage renal disease (esrd) treatment clinic center in Ardmore, OK. ARDMORE DIALYSIS RANCH, INC NPI is 1992037626. The provider is registered as an organization entity type.

The provider's business location address is:

2617 CROSSROADS DR
ARDMORE, OK
ZIP 73401-574
Phone: (580) 490-9844

The provider's authorized official is Abdul N Khan .
The authorized official title is Owner and has the following contact phone number (580) 223-8614.

The CLIA number assigned to this NPI record is 37D2055160 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2010 and was last updated on 5/9/2011.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentOKLAHOMAYes

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: 11/21/2025

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