Qualicenters Coos Bay, Ltd. in Coos Bay - End-stage Renal Disease (esrd) Treatment

Qualicenters Coos Bay, Ltd. - NPI 1285746081

Qualicenters Coos Bay, Ltd. is a End-stage Renal Disease (esrd) Treatment in Coos Bay, Oregon. Qualicenters Coos Bay, Ltd. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Qualicenters Coos Bay, Ltd. is 1285746081. The last update date is 2023-10-13.

Qualicenters Coos Bay, Ltd.'s current location address is 1971 Thompson Rd, Coos Bay, Oregon. You can contact this provider via phone number 5412669204 and fax number 5412668039. The mailing address for Qualicenters Coos Bay, Ltd. is 1971 Thompson Rd, Coos Bay, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Qualicenters Coos Bay, Ltd.
Address 1971 Thompson Rd, Coos Bay, Oregon
Phone Number 5412669204
Fax Number 5412668039
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1285746081
Provider Enumeration Date 2006-08-31
Last Updated Date 2023-10-13

Provider Mailing Address Detail

Address 1971 Thompson Rd
City Coos Bay
State Oregon (OR)
Post Code 974202040
Phone Number 5412669204
Fax Number 5412668039

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 Qualicenters Coos Bay, Ltd.

What is the Qualicenters Coos Bay, Ltd.'s unique identification number?

The Qualicenters Coos Bay, Ltd. has been assigned the NPI (National Provider Identifier) Number 1285746081 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 physical location address of Qualicenters Coos Bay, Ltd.?

The Qualicenters Coos Bay, Ltd. is physically situated at 1971 Thompson Rd, in the city of Coos Bay, state of OR, with the postal code 974202040.

What is Qualicenters Coos Bay, Ltd.'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 Qualicenters Coos Bay, Ltd. is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285746081 to Qualicenters Coos Bay, Ltd.?

The Centers for Medicare & Medicaid Services originally issued the 1285746081 to Qualicenters Coos Bay, Ltd. on 2006-08-31.

When was the information pertaining to Qualicenters Coos Bay, Ltd. most recently updated or revised?

The details related to Qualicenters Coos Bay, Ltd., including its address, specialty, and other relevant information, were last updated or revised on 2023-10-13.

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