Isd Renal Inc in Prescott - End-stage Renal Disease (esrd) Treatment
Isd Renal Inc - NPI 1205881232
Isd Renal Inc is a End-stage Renal Disease (esrd) Treatment in Prescott, Arizona. Isd Renal Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Isd Renal Inc is 1205881232. The last update date is 2022-01-03.
Isd Renal Inc's current location address is 980 Willow Creek Rd Ste 101, Prescott, Arizona. You can contact this provider via phone number 9287769459 and fax number 9287768061. The mailing address for Isd Renal Inc is 980 Willow Creek Rd Ste 101, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Isd Renal Inc |
|---|---|
| Address | 980 Willow Creek Rd Ste 101, Prescott, Arizona |
| Phone Number | 9287769459 |
| Fax Number | 9287768061 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1205881232 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 980 Willow Creek Rd Ste 101 |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863011619 |
| Phone Number | 9287769459 |
| Fax Number | 9287768061 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | OTC3997 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 151474 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Isd Renal Inc?
The Isd Renal Inc has been issued the NPI (National Provider Identifier) 1205881232 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Isd Renal Inc located?
The Isd Renal Inc is located at 980 Willow Creek Rd Ste 101, Prescott, AZ 863011619.
What is Isd Renal Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Isd Renal Inc is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did Isd Renal Inc receive its 1205881232 assignment from the Centers for Medicare & Medicaid Services?
The Isd Renal Inc was assigned its 1205881232 on 2006-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Isd Renal Inc most recently updated?
The details pertaining to the Isd Renal Inc, including its address, specialty, and other relevant information, were last refreshed on 2022-01-03.