Liberty Dialysis-Sparks Llc in Sparks - End-stage Renal Disease (esrd) Treatment

Liberty Dialysis-Sparks Llc - NPI 1104094036

Liberty Dialysis-Sparks Llc is a End-stage Renal Disease (esrd) Treatment in Sparks, Nevada. Liberty Dialysis-Sparks Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Liberty Dialysis-Sparks Llc is 1104094036. The last update date is 2023-10-18.

Liberty Dialysis-Sparks Llc's current location address is 5915 S Los Altos Pkwy, Sparks, Nevada. You can contact this provider via phone number 7752000108 and fax number 7756366878. The mailing address for Liberty Dialysis-Sparks Llc is 5915 S Los Altos Pkwy, Sparks, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Organization Liberty Dialysis-Sparks Llc
Address 5915 S Los Altos Pkwy, Sparks, Nevada
Phone Number 7752000108
Fax Number 7756366878
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1104094036
Provider Enumeration Date 2008-02-13
Last Updated Date 2023-10-18

Provider Mailing Address Detail

Address 5915 S Los Altos Pkwy
City Sparks
State Nevada (NV)
Post Code 894362506
Phone Number 7752000108
Fax Number 7756366878

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.

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FAQs about Liberty Dialysis-Sparks Llc

What is the Liberty Dialysis-Sparks Llc's unique identification number?

The Liberty Dialysis-Sparks Llc has been assigned the NPI (National Provider Identifier) Number 1104094036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Liberty Dialysis-Sparks Llc is physically located?

The Liberty Dialysis-Sparks Llc is physically situated at the following address: 5915 S Los Altos Pkwy, Sparks, NV, 894362506.

What is Liberty Dialysis-Sparks Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Liberty Dialysis-Sparks Llc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104094036 to Liberty Dialysis-Sparks Llc?

The Centers for Medicare & Medicaid Services assigned the 1104094036 to Liberty Dialysis-Sparks Llc on 2008-02-13.

As of what date was the information pertaining to Liberty Dialysis-Sparks Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Liberty Dialysis-Sparks Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-18.

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