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Star Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grants Pass, Oregon
NPI 1720219017

Star Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, OR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Star Dialysis Llc practices in Grants Pass, OR. The NPI Number for Star Dialysis Llc is 1720219017 and holds a License No. (Oregon).

The current practice location address for Star Dialysis Llc is 201 Sw L St, Grants Pass, OR and can be reached out via phone at 541-474-0776 and via fax at 541-474-0122.

Location: 201 Sw L St, Grants Pass, OR, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720219017
Provider Name
Star Dialysis Llc
Credential
Provider Entity Type
Organization
Address
201 Sw L St, Grants Pass, OR, 37027-7569
Phone Number
541-474-0776
Fax Number
541-474-0122
Provider Enumeration Date
08/04/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500619834 05 OR
institution
Provider Business Practice Location Address Details
Address
201 Sw L St
City
Grants Pass
State
Oregon
Zip
97526-2913
Phone Number
541-474-0776
Fax Number
541-474-0122
person
Provider Business Mailing Address Details
Address
201 Sw L St
City
Grants Pass
State
Oregon
Zip
97526-2913
Phone Number
541-474-0776
Fax Number
541-474-0122
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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