Four State Regional Dialysis Center, Inc. in Joplin - End-stage Renal Disease (esrd) Treatment

Four State Regional Dialysis Center, Inc. - NPI 1902918808

Four State Regional Dialysis Center, Inc. is a End-stage Renal Disease (esrd) Treatment in Joplin, Missouri. Four State Regional Dialysis Center, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Four State Regional Dialysis Center, Inc. is 1902918808. The last update date is 2008-08-27.

Four State Regional Dialysis Center, Inc.'s current location address is 1800 W 30th St, Joplin, Missouri. You can contact this provider via phone number 4177822055. The mailing address for Four State Regional Dialysis Center, Inc. is 1800 W 30th St, Joplin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Four State Regional Dialysis Center, Inc.
Address 1800 W 30th St, Joplin, Missouri
Phone Number 4177822055
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TREASURER
Authorized Official Name Fawcett Mark
Telephone Number 7816999000

NPI Number Detail

NPI Number 1902918808
Provider Enumeration Date 2006-08-31
Last Updated Date 2008-08-27

Provider Mailing Address Detail

Address 1800 W 30th St
City Joplin
State Missouri (MO)
Post Code 648041520
Phone Number 4177822055
Fax Number

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 Four State Regional Dialysis Center, Inc.

What is the unique identifier code issued to Four State Regional Dialysis Center, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The Four State Regional Dialysis Center, Inc. has been assigned the NPI (National Provider Identifier) 1902918808. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Four State Regional Dialysis Center, Inc.?

The Four State Regional Dialysis Center, Inc. is physically situated at 1800 W 30Th St, in the city of Joplin, state of MO, with the postal code 648041520.

What is the area of specialization for Four State Regional Dialysis Center, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Four State Regional Dialysis Center, Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.

On what date did Four State Regional Dialysis Center, Inc. receive its 1902918808 assignment from the Centers for Medicare & Medicaid Services?

The Four State Regional Dialysis Center, Inc. was assigned its 1902918808 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Four State Regional Dialysis Center, Inc. most recently updated or revised?

The information pertaining to Four State Regional Dialysis Center, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-08-27.

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