Kidney Life Incorporated in St Petersburg - End-stage Renal Disease (esrd) Treatment
Kidney Life Incorporated - NPI 1760523294
Kidney Life Incorporated is a End-stage Renal Disease (esrd) Treatment in St Petersburg, Florida. Kidney Life Incorporated practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Kidney Life Incorporated is 1760523294. The last update date is 2012-04-23.
Kidney Life Incorporated's current location address is Po Box 47069, St Petersburg, Florida. You can contact this provider via phone number 7275896550 and fax number 7278985317. The mailing address for Kidney Life Incorporated is Po Box 47069, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidney Life Incorporated |
|---|---|
| Address | Po Box 47069, St Petersburg, Florida |
| Phone Number | 7275896550 |
| Fax Number | 7278985317 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO PRESID |
|---|---|
| Authorized Official Name | Malti S Jossette |
| Credentials | RN |
| Telephone Number | 7278965500 |
NPI Number Detail
| NPI Number | 1760523294 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2012-04-23 |
Provider Mailing Address Detail
| Address | Po Box 47069 |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337437069 |
| Phone Number | 7275896550 |
| Fax Number | 7278985317 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200573500 | FL | -- | |
| V19 | FL | BCBS FL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kidney Life Incorporated by the Centers for Medicare & Medicaid Services?
The Kidney Life Incorporated has been issued the NPI (National Provider Identifier) 1760523294, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kidney Life Incorporated located?
The Kidney Life Incorporated is located at Po Box 47069, St Petersburg, FL 337437069.
What is Kidney Life Incorporated's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kidney Life Incorporated is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date was the 1760523294 assigned to Kidney Life Incorporated?
The Kidney Life Incorporated was issued its 1760523294 on 2007-02-09, 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 Kidney Life Incorporated last refreshed?
The information related to the Kidney Life Incorporated, including its address, specialty, and other relevant details, was last updated on 2012-04-23.