Qualicenters Pueblo, Llc in Pueblo - End-stage Renal Disease (esrd) Treatment

Qualicenters Pueblo, Llc - NPI 1396847562

Qualicenters Pueblo, Llc is a End-stage Renal Disease (esrd) Treatment in Pueblo, Colorado. Qualicenters Pueblo, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Qualicenters Pueblo, Llc is 1396847562. The last update date is 2023-10-13.

Qualicenters Pueblo, Llc's current location address is 41 Montebello Rd Ste 102, Pueblo, Colorado. You can contact this provider via phone number 7195451575 and fax number 7195461451. The mailing address for Qualicenters Pueblo, Llc is 41 Montebello Rd Ste 102, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Qualicenters Pueblo, Llc
Address 41 Montebello Rd Ste 102, Pueblo, Colorado
Phone Number 7195451575
Fax Number 7195461451
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1396847562
Provider Enumeration Date 2006-09-01
Last Updated Date 2023-10-13

Provider Mailing Address Detail

Address 41 Montebello Rd Ste 102
City Pueblo
State Colorado (CO)
Post Code 810011366
Phone Number 7195451575
Fax Number 7195461451

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.

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FAQs about Qualicenters Pueblo, Llc

What is the unique provider identifier assigned to Qualicenters Pueblo, Llc?

The Qualicenters Pueblo, Llc has been issued the NPI (National Provider Identifier) 1396847562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Qualicenters Pueblo, Llc's physical address?

The Qualicenters Pueblo, Llc is physically located at 41 Montebello Rd Ste 102, in the city of Pueblo, CO, with the postal code 810011366.

What is Qualicenters Pueblo, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Qualicenters Pueblo, Llc 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 originally issue the 1396847562 to Qualicenters Pueblo, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1396847562 to Qualicenters Pueblo, Llc on 2006-09-01.

As of what date was the information pertaining to Qualicenters Pueblo, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Qualicenters Pueblo, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-13.

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