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Colleton Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Clinton, Missouri
NPI 1548697402

Colleton Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Colleton Dialysis Llc practices in Clinton, MO. The NPI Number for Colleton Dialysis Llc is 1548697402 and holds a License No. (Missouri).

The current practice location address for Colleton Dialysis Llc is 604 Kansas Ave, Clinton, MO and can be reached out via phone at 660-890-0830 and via fax at 660-890-0789.

Location: 604 Kansas Ave, Clinton, MO, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548697402
Provider Name
Colleton Dialysis Llc
Credential
Provider Entity Type
Organization
Address
604 Kansas Ave, Clinton, MO, 37027-7569
Phone Number
660-890-0830
Fax Number
660-890-0789
Provider Enumeration Date
10/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548697402 05 MO
institution
Provider Business Practice Location Address Details
Address
604 Kansas Ave
City
Clinton
State
Missouri
Zip
64735-3069
Phone Number
660-890-0830
Fax Number
660-890-0789
person
Provider Business Mailing Address Details
Address
604 Kansas Ave
City
Clinton
State
Missouri
Zip
64735-3069
Phone Number
660-890-0830
Fax Number
660-890-0789
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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