Organization · Type 2 NPI
Big Horn Basin Regional Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cody, WY
NPI number
1669818969
Active
Practice location
424 Yellowstone Ave, Suite 150
Cody, WY 82414-9309
Fax (307) 578-2217
Mailing address
1633 Church St, Suite 500
Nashville, TN 37203-2990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1669818969
Big Horn Basin Regional Dialysis Center LLC's National Provider Identifier is 1669818969, issued on May 14, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cody, WY. The record was last updated on Jul 15, 2019.