SATELLITE HEALTHCARE CENTRAL STATES LLC NPI 1932294725

NPI Information

NPI: 1932294725
Provider Name: SATELLITE HEALTHCARE CENTRAL STATES LLC

Doing Business As: SATELLITE HEALTHCARE KYLE

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
134 ELMHURST DRIVE
KYLE, TX
ZIP 78640
Phone: (512) 392-9199
Get Directions

SATELLITE HEALTHCARE CENTRAL STATES LLC is an end-stage renal disease (esrd) treatment clinic center in Kyle, TX. SATELLITE HEALTHCARE CENTRAL STATES LLC NPI is 1932294725. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Kyle.

The provider's business location address is:

134 ELMHURST DRIVE
KYLE, TX
ZIP 78640-060
Phone: (512) 392-9199
Fax: (512) 392-9363

The provider's authorized official is Susan L Del Bene .
The authorized official title is Secretary/cfo and has the following contact phone number (640) 404-3618.

The CLIA number assigned to this NPI record is 45D0951861 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	008452	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110096	OTHER	TEXAS	STATE OF TEXAS
2	185969602	MEDICAID	TEXAS
3	452788	MEDICARE OSCAR/CERTIFICATION	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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