institution
Satellite Dialysis-central Modesto Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Modesto, California
NPI 1609847581

Satellite Dialysis-central Modesto Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Plano, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Satellite Dialysis-central Modesto Llc practices in Modesto, CA. The NPI Number for Satellite Dialysis-central Modesto Llc is 1609847581 and holds a License No. 110000527 (California).

The current practice location address for Satellite Dialysis-central Modesto Llc is 1315 10Th St, Modesto, CA and can be reached out via phone at 209-238-4087 and via fax at 209-238-4092. You can also correspond with Satellite Dialysis-central Modesto Llc through the mailing address at 5851 LEGACY CIR STE 900, PLANO, TX - 75024-5982 (mailing address contact number: 214-736-2700).

Location: 1315 10Th St, Modesto, CA, 75024-5982
institution
Provider Profile Details
NPI Number
1609847581
Provider Name
Satellite Dialysis-central Modesto Llc
Credential
Provider Entity Type
Organization
Address
1315 10Th St, Modesto, CA, 75024-5982
Phone Number
209-238-4087
Fax Number
209-238-4092
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
110000527 01 CA STATE OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
1315 10Th St
City
State
Zip
95354-0714
Phone Number
209-238-4087
Fax Number
209-238-4092
person
Provider Business Mailing Address Details
Address
5851 Legacy Cir Ste 900
City
State
Zip
75024-5982
Phone Number
214-736-2700
Fax Number
214-975-2435
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
110000527 (California)
Definition
Definition to come...
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