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Gateway Home Dialysis, Inc.
Dialysis Equipment & Supplies (DME) in Visalia, California
NPI 1710943576

Gateway Home Dialysis, Inc. is a Dialysis Equipment & Supplies (DME) based in Visalia, CA and is specialized in Dialysis Equipment & Supplies. Gateway Home Dialysis, Inc. practices in Visalia, CA. The NPI Number for Gateway Home Dialysis, Inc. is 1710943576 and holds a License No. 240000798 (California).

The current practice location address for Gateway Home Dialysis, Inc. is 1120 N Chinowth St, Visalia, CA and can be reached out via phone at 559-733-9707 and via fax at 559-733-7009.

Location: 1120 N Chinowth St, Visalia, CA, 93291-7896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710943576
Provider Name
Gateway Home Dialysis, Inc.
Credential
Provider Entity Type
Organization
Address
1120 N Chinowth St, Visalia, CA, 93291-7896
Phone Number
559-733-9707
Fax Number
559-733-7009
Provider Enumeration Date
04/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4970860001 01 CA CIGNA MEDICARE DMERC
CDC02771F 05 CA
institution
Provider Business Practice Location Address Details
Address
1120 N Chinowth St
City
Visalia
State
California
Zip
93291-7896
Phone Number
559-733-9707
Fax Number
559-733-7009
person
Provider Business Mailing Address Details
Address
1120 N Chinowth St
City
Visalia
State
California
Zip
93291-7896
Phone Number
559-733-9707
Fax Number
559-733-7009
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.
FNP 18234 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Dialysis Equipment & Supplies
Taxonomy
332BD1200X
License No.
240000798 (California)
Definition
Definition to come...
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