Quad Cities Kidney Center, Ltd. in Davenport - End-stage Renal Disease (esrd) Treatment

Quad Cities Kidney Center, Ltd. - NPI 1700885803

Quad Cities Kidney Center, Ltd. is a End-stage Renal Disease (esrd) Treatment in Davenport, Iowa. Quad Cities Kidney Center, Ltd. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Quad Cities Kidney Center, Ltd. is 1700885803. The last update date is 2014-08-29.

Quad Cities Kidney Center, Ltd.'s current location address is 120 W Locust St, Davenport, Iowa. You can contact this provider via phone number 5633233300 and fax number 5633231045. The mailing address for Quad Cities Kidney Center, Ltd. is 120 W Locust St, Davenport, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Quad Cities Kidney Center, Ltd.
Address 120 W Locust St, Davenport, Iowa
Phone Number 5633233300
Fax Number 5633231045
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Alla Rajesh
Credentials M.D.
Telephone Number 3097625570

NPI Number Detail

NPI Number 1700885803
Provider Enumeration Date 2005-07-20
Last Updated Date 2014-08-29

Provider Mailing Address Detail

Address 120 W Locust St
City Davenport
State Iowa (IA)
Post Code 528032826
Phone Number 5633233300
Fax Number 5633231045

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
625079 IA --
62507 IA BCBS OF IA/WELLMARK

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FAQs about Quad Cities Kidney Center, Ltd.

What is the unique identifier code issued to Quad Cities Kidney Center, Ltd. by the Centers for Medicare & Medicaid Services?

The Quad Cities Kidney Center, Ltd. has been assigned the NPI (National Provider Identifier) 1700885803. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Quad Cities Kidney Center, Ltd. is physically located?

The Quad Cities Kidney Center, Ltd. is situated at the following address: 120 W Locust St, Davenport, IA 528032826.

What is Quad Cities Kidney Center, Ltd.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Quad Cities Kidney Center, Ltd.'s area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.

On what date was the 1700885803 assigned to Quad Cities Kidney Center, Ltd.?

The Quad Cities Kidney Center, Ltd. was issued its 1700885803 on 2005-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Quad Cities Kidney Center, Ltd., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Quad Cities Kidney Center, Ltd., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-29.

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