Indian Wells Valley Dialysis Medical Center Inc in Ridgecrest - End-stage Renal Disease (esrd) Treatment

Indian Wells Valley Dialysis Medical Center Inc - NPI 1154427243

Indian Wells Valley Dialysis Medical Center Inc is a End-stage Renal Disease (esrd) Treatment in Ridgecrest, California. Indian Wells Valley Dialysis Medical Center Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Indian Wells Valley Dialysis Medical Center Inc is 1154427243. The last update date is 2008-09-10.

Indian Wells Valley Dialysis Medical Center Inc's current location address is 212 S Richmond Rd, Ridgecrest, California. You can contact this provider via phone number 7603717506 and fax number 7603717806. The mailing address for Indian Wells Valley Dialysis Medical Center Inc is 212 S Richmond Rd, Ridgecrest, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indian Wells Valley Dialysis Medical Center Inc
Address 212 S Richmond Rd, Ridgecrest, California
Phone Number 7603717506
Fax Number 7603717806
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Dahhan S Ghassan
Credentials M.D.
Telephone Number 6612677645

NPI Number Detail

NPI Number 1154427243
Provider Enumeration Date 2006-09-15
Last Updated Date 2008-09-10

Provider Mailing Address Detail

Address 212 S Richmond Rd
City Ridgecrest
State California (CA)
Post Code 935554434
Phone Number 7603717506
Fax Number 7603717806

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CDC02789F CA --

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FAQs about Indian Wells Valley Dialysis Medical Center Inc

What is the unique identification code assigned to Indian Wells Valley Dialysis Medical Center Inc by the Centers for Medicare & Medicaid Services?

The Indian Wells Valley Dialysis Medical Center Inc has been issued the NPI (National Provider Identifier) 1154427243. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Indian Wells Valley Dialysis Medical Center Inc?

The Indian Wells Valley Dialysis Medical Center Inc is physically situated at 212 S Richmond Rd, in the city of Ridgecrest, state of CA, with the postal code 935554434.

What is Indian Wells Valley Dialysis Medical Center Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Indian Wells Valley Dialysis Medical Center Inc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1154427243 to Indian Wells Valley Dialysis Medical Center Inc?

The Centers for Medicare & Medicaid Services assigned the 1154427243 to Indian Wells Valley Dialysis Medical Center Inc on 2006-09-15.

As of what date was the information regarding Indian Wells Valley Dialysis Medical Center Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Indian Wells Valley Dialysis Medical Center Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-10.

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