Qualicenters Bend, Llc in Bend - End-stage Renal Disease (esrd) Treatment
Qualicenters Bend, Llc - NPI 1376655175
Qualicenters Bend, Llc is a End-stage Renal Disease (esrd) Treatment in Bend, Oregon. Qualicenters Bend, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Qualicenters Bend, Llc is 1376655175. The last update date is 2023-10-13.
Qualicenters Bend, Llc's current location address is 1239 Ne Medical Center Dr Ste 100, Bend, Oregon. You can contact this provider via phone number 5413858668 and fax number 5413859202. The mailing address for Qualicenters Bend, Llc is 1239 Ne Medical Center Dr Ste 100, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Qualicenters Bend, Llc |
|---|---|
| Address | 1239 Ne Medical Center Dr Ste 100, Bend, Oregon |
| Phone Number | 5413858668 |
| Fax Number | 5413859202 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1376655175 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2023-10-13 |
Provider Mailing Address Detail
| Address | 1239 Ne Medical Center Dr Ste 100 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977017359 |
| Phone Number | 5413858668 |
| Fax Number | 5413859202 |
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 issued to Qualicenters Bend, Llc by the Centers for Medicare & Medicaid Services?
The Qualicenters Bend, Llc has been assigned the NPI (National Provider Identifier) 1376655175 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Qualicenters Bend, Llc?
The Qualicenters Bend, Llc is physically situated at 1239 Ne Medical Center Dr Ste 100, in the city of Bend, state of OR, with the postal code 977017359.
What is the Qualicenters Bend, Llc's specialty and taxonomy code?
The Qualicenters Bend, Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Qualicenters Bend, Llc receive its 1376655175 assignment from the Centers for Medicare & Medicaid Services?
The Qualicenters Bend, Llc was assigned its 1376655175 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the Qualicenters Bend, Llc's details last updated?
The information pertaining to the Qualicenters Bend, Llc, including its address, specialty, and other details, was most recently updated on 2023-10-13.
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