King Dialysis Center Of Wake Forest University in King - End-stage Renal Disease (esrd) Treatment

King Dialysis Center Of Wake Forest University - NPI 1396722351

King Dialysis Center Of Wake Forest University is a End-stage Renal Disease (esrd) Treatment in King, North Carolina. King Dialysis Center Of Wake Forest University practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for King Dialysis Center Of Wake Forest University is 1396722351. The last update date is 2023-08-15.

King Dialysis Center Of Wake Forest University's current location address is 140 Moore Rd, King, North Carolina. You can contact this provider via phone number 3369853531 and fax number 3369850718. The mailing address for King Dialysis Center Of Wake Forest University is 140 Moore Rd, King, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization King Dialysis Center Of Wake Forest University
Address 140 Moore Rd, King, North Carolina
Phone Number 3369853531
Fax Number 3369850718
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASSISTANT
Authorized Official Name Hales L Terry
Telephone Number 3367163003

NPI Number Detail

NPI Number 1396722351
Provider Enumeration Date 2005-12-29
Last Updated Date 2023-08-15

Provider Mailing Address Detail

Address 140 Moore Rd
City King
State North Carolina (NC)
Post Code 270218770
Phone Number 3369853531
Fax Number 3369850718

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
001FA NC BCBS-NC
3402633 NC --

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FAQs about King Dialysis Center Of Wake Forest University

What is the unique 10-digit identification code assigned to King Dialysis Center Of Wake Forest University by the Centers for Medicare & Medicaid Services?

The King Dialysis Center Of Wake Forest University has been issued the NPI (National Provider Identifier) 1396722351, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where King Dialysis Center Of Wake Forest University's facilities are situated?

The facilities of King Dialysis Center Of Wake Forest University are physically located at the following address: 140 Moore Rd, King, NC, 270218770.

What is the King Dialysis Center Of Wake Forest University's specialty and taxonomy code?

The King Dialysis Center Of Wake Forest University's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396722351 to King Dialysis Center Of Wake Forest University?

The Centers for Medicare & Medicaid Services originally issued the 1396722351 to King Dialysis Center Of Wake Forest University on 2005-12-29.

When was the King Dialysis Center Of Wake Forest University's information last updated?

The King Dialysis Center Of Wake Forest University's information was last updated on 2023-08-15.

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