Liberty Dialysis-St.George Llc in St George - End-stage Renal Disease (esrd) Treatment

Liberty Dialysis-St.George Llc - NPI 1861671422

Liberty Dialysis-St.George Llc is a End-stage Renal Disease (esrd) Treatment in St George, Utah. Liberty Dialysis-St.George Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Liberty Dialysis-St.George Llc is 1861671422. The last update date is 2023-10-17.

Liberty Dialysis-St.George Llc's current location address is 624 S 1000 E Ste 101, St George, Utah. You can contact this provider via phone number 4356564596 and fax number 4356736674. The mailing address for Liberty Dialysis-St.George Llc is 624 S 1000 E Ste 101, St George, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Liberty Dialysis-St.George Llc
Address 624 S 1000 E Ste 101, St George, Utah
Phone Number 4356564596
Fax Number 4356736674
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1861671422
Provider Enumeration Date 2007-10-31
Last Updated Date 2023-10-17

Provider Mailing Address Detail

Address 624 S 1000 E Ste 101
City St George
State Utah (UT)
Post Code 847905902
Phone Number 4356564596
Fax Number 4356736674

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
462542 UT PTAN

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FAQs about Liberty Dialysis-St.George Llc

What is the unique identifier code issued to Liberty Dialysis-St.George Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Liberty Dialysis-St.George Llc has been assigned the NPI (National Provider Identifier) 1861671422. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Liberty Dialysis-St.George Llc is located?

The Liberty Dialysis-St.George Llc is situated at the following address: 624 S 1000 E Ste 101, St George, UT, 847905902.

What is Liberty Dialysis-St.George Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Liberty Dialysis-St.George Llc's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1861671422 to Liberty Dialysis-St.George Llc?

The Centers for Medicare & Medicaid Services assigned the 1861671422 to Liberty Dialysis-St.George Llc on 2007-10-31.

As of what date were the details pertaining to Liberty Dialysis-St.George Llc last refreshed?

The information related to the Liberty Dialysis-St.George Llc, including its address, specialty, and other relevant details, was last updated on 2023-10-17.

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