Southeastern Renal Dialysis L.C. in West Burlington - End-stage Renal Disease (esrd) Treatment
Southeastern Renal Dialysis L.C. - NPI 1659337541
Southeastern Renal Dialysis L.C. is a End-stage Renal Disease (esrd) Treatment in West Burlington, Iowa. Southeastern Renal Dialysis L.C. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Southeastern Renal Dialysis L.C. is 1659337541. The last update date is 2012-03-16.
Southeastern Renal Dialysis L.C.'s current location address is 1213 S Gear Ave, West Burlington, Iowa. You can contact this provider via phone number 3197580691 and fax number 3197580392. The mailing address for Southeastern Renal Dialysis L.C. is 1213 S Gear Ave, West Burlington, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Renal Dialysis L.C. |
|---|---|
| Address | 1213 S Gear Ave, West Burlington, Iowa |
| Phone Number | 3197580691 |
| Fax Number | 3197580392 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Liechty Mary |
| Telephone Number | 3193856728 |
NPI Number Detail
| NPI Number | 1659337541 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2012-03-16 |
Provider Mailing Address Detail
| Address | 1213 S Gear Ave |
|---|---|
| City | West Burlington |
| State | Iowa (IA) |
| Post Code | 526551679 |
| Phone Number | 3197580691 |
| Fax Number | 3197580392 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 625103 | IA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southeastern Renal Dialysis L.C.?
The Southeastern Renal Dialysis L.C. has been issued the NPI (National Provider Identifier) 1659337541 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Southeastern Renal Dialysis L.C.'s facilities are situated?
The facilities of Southeastern Renal Dialysis L.C. are physically located at the following address: 1213 S Gear Ave, West Burlington, IA, 526551679.
What is the Southeastern Renal Dialysis L.C.'s area of specialization and corresponding taxonomy classification?
The Southeastern Renal Dialysis L.C.'s specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1659337541 to Southeastern Renal Dialysis L.C.?
The Centers for Medicare & Medicaid Services assigned the 1659337541 to Southeastern Renal Dialysis L.C. on 2006-04-21.
As of what date were the details pertaining to Southeastern Renal Dialysis L.C. last refreshed?
The information related to the Southeastern Renal Dialysis L.C., including its address, specialty, and other relevant details, was last updated on 2012-03-16.