Organization · Type 2 NPI
Satellite Dialysis-Central Modesto LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Modesto, CA
NPI number
1609847581
Active
Practice location
1315 10th St, Suite 300
Modesto, CA 95354-0714
Fax (209) 238-4092
Mailing address
5851 Legacy Cir Ste 900
Plano, TX 75024-5982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 110000527 (CA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1609847581
Satellite Dialysis-Central Modesto LLC's National Provider Identifier is 1609847581, issued on Jan 30, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Modesto, CA. The record was last updated on May 15, 2024.