Liberty Dialysis - Hawaii Llc in Kailua Kona - End-stage Renal Disease (esrd) Treatment

Liberty Dialysis - Hawaii Llc - NPI 1134160187

Liberty Dialysis - Hawaii Llc is a End-stage Renal Disease (esrd) Treatment in Kailua Kona, Hawaii. Liberty Dialysis - Hawaii Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Liberty Dialysis - Hawaii Llc is 1134160187. The last update date is 2023-10-17.

Liberty Dialysis - Hawaii Llc's current location address is 78-6831 Alii Dr Ste 336, Kailua Kona, Hawaii. You can contact this provider via phone number 8083222131 and fax number 8083220605. The mailing address for Liberty Dialysis - Hawaii Llc is 78-6831 Alii Dr Ste 336, Kailua Kona, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Organization Liberty Dialysis - Hawaii Llc
Address 78-6831 Alii Dr Ste 336, Kailua Kona, Hawaii
Phone Number 8083222131
Fax Number 8083220605
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1134160187
Provider Enumeration Date 2006-06-09
Last Updated Date 2023-10-17

Provider Mailing Address Detail

Address 78-6831 Alii Dr Ste 336
City Kailua Kona
State Hawaii (HI)
Post Code 967404408
Phone Number 8083222131
Fax Number 8083220605

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
00J0257467 HI --

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FAQs about Liberty Dialysis - Hawaii Llc

What is the unique identifier code issued to Liberty Dialysis - Hawaii Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Liberty Dialysis - Hawaii Llc has been assigned the NPI (National Provider Identifier) 1134160187. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Liberty Dialysis - Hawaii Llc's physical address?

The Liberty Dialysis - Hawaii Llc is physically located at 78-6831 Alii Dr Ste 336, in the city of Kailua Kona, HI, with the postal code 967404408.

What is Liberty Dialysis - Hawaii Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Liberty Dialysis - Hawaii Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134160187 to Liberty Dialysis - Hawaii Llc?

The Liberty Dialysis - Hawaii Llc received its 1134160187 assignment from the Centers for Medicare & Medicaid Services on 2006-06-09.

As of what date were the details pertaining to Liberty Dialysis - Hawaii Llc last refreshed?

The information related to the Liberty Dialysis - Hawaii Llc, including its address, specialty, and other relevant details, was last updated on 2023-10-17.

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