Southeastern Renal Dialysis L.C. in Fairfield - End-stage Renal Disease (esrd) Treatment
Southeastern Renal Dialysis L.C. - NPI 1144490178
Southeastern Renal Dialysis L.C. is a End-stage Renal Disease (esrd) Treatment in Fairfield, Iowa. Southeastern Renal Dialysis L.C. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Southeastern Renal Dialysis L.C. is 1144490178. The last update date is 2022-07-21.
Southeastern Renal Dialysis L.C.'s current location address is 2000 A S Main St, Fairfield, Iowa. You can contact this provider via phone number 6414693313. The mailing address for Southeastern Renal Dialysis L.C. is 2000 A S Main St, Fairfield, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Renal Dialysis L.C. |
|---|---|
| Address | 2000 A S Main St, Fairfield, Iowa |
| Phone Number | 6414693313 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Liechty Mary |
| Telephone Number | 3193856728 |
NPI Number Detail
| NPI Number | 1144490178 |
|---|---|
| Provider Enumeration Date | 2008-03-05 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2000 A S Main St |
|---|---|
| City | Fairfield |
| State | Iowa (IA) |
| Post Code | 52556 |
| Phone Number | 6414693313 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southeastern Renal Dialysis L.C. by the Centers for Medicare & Medicaid Services?
The Southeastern Renal Dialysis L.C. has been issued the NPI (National Provider Identifier) 1144490178 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Southeastern Renal Dialysis L.C.?
The Southeastern Renal Dialysis L.C. is situated at 2000 A S Main St, in the city of Fairfield, state of IA, with the zip code 52556.
What is the Southeastern Renal Dialysis L.C.'s area of specialization and corresponding taxonomy classification?
The Southeastern Renal Dialysis L.C.'s specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1144490178 assigned to Southeastern Renal Dialysis L.C.?
The Southeastern Renal Dialysis L.C. was issued its 1144490178 on 2008-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Southeastern Renal Dialysis L.C. last refreshed?
The information related to the Southeastern Renal Dialysis L.C., including its address, specialty, and other relevant details, was last updated on 2022-07-21.
NPI Number: 1720081763
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