Dialysis Services Of Southeast Alaska, Llc in Juneau - End-stage Renal Disease (esrd) Treatment

Dialysis Services Of Southeast Alaska, Llc - NPI 1215049010

Dialysis Services Of Southeast Alaska, Llc is a End-stage Renal Disease (esrd) Treatment in Juneau, Alaska. Dialysis Services Of Southeast Alaska, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dialysis Services Of Southeast Alaska, Llc is 1215049010. The last update date is 2023-10-14.

Dialysis Services Of Southeast Alaska, Llc's current location address is 9109 Mendenhall Mall Rd Ste 6, Juneau, Alaska. You can contact this provider via phone number 9077903002 and fax number 9077903014. The mailing address for Dialysis Services Of Southeast Alaska, Llc is 9109 Mendenhall Mall Rd Ste 6, Juneau, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dialysis Services Of Southeast Alaska, Llc
Address 9109 Mendenhall Mall Rd Ste 6, Juneau, Alaska
Phone Number 9077903002
Fax Number 9077903014
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1215049010
Provider Enumeration Date 2006-08-31
Last Updated Date 2023-10-14

Provider Mailing Address Detail

Address 9109 Mendenhall Mall Rd Ste 6
City Juneau
State Alaska (AK)
Post Code 998017136
Phone Number 9077903002
Fax Number 9077903014

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
2504-02-01 00:0 AK PTAN

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FAQs about Dialysis Services Of Southeast Alaska, Llc

Could you share the physical location details of Dialysis Services Of Southeast Alaska, Llc?

The Dialysis Services Of Southeast Alaska, Llc is situated at 9109 Mendenhall Mall Rd Ste 6, in the city of Juneau, state of AK, with the zip code 998017136.

Could you please share the complete physical address where Dialysis Services Of Southeast Alaska, Llc is geographically located?

The Dialysis Services Of Southeast Alaska, Llc is physically situated at the following location: 9109 Mendenhall Mall Rd Ste 6, Juneau, AK, 998017136.

What is Dialysis Services Of Southeast Alaska, Llc's area of expertise and its corresponding taxonomy classification?

The Dialysis Services Of Southeast Alaska, Llc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.

When did Dialysis Services Of Southeast Alaska, Llc receive its 1215049010 assignment?

The Dialysis Services Of Southeast Alaska, Llc was assigned its 1215049010 on 2006-08-31, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Dialysis Services Of Southeast Alaska, Llc last refreshed?

The information related to the Dialysis Services Of Southeast Alaska, Llc, including its address, specialty, and other relevant details, was last updated on 2023-10-14.

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