AMERI-TECH KIDNEY CENTER NPI 1952400640

NPI Information

NPI: 1952400640
Provider Name: AMERI-TECH KIDNEY CENTER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1600 CENTRAL DR
SUITE 130
BEDFORD, TX
ZIP 76022
Phone: (817) 545-8044
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AMERI-TECH KIDNEY CENTER is an end-stage renal disease (esrd) treatment clinic center in Bedford, TX. AMERI-TECH KIDNEY CENTER NPI is 1952400640. The provider is registered as an organization entity type.

The provider's business location address is:

1600 CENTRAL DR
SUITE 130
BEDFORD, TX
ZIP 76022-000
Phone: (817) 545-8044
Fax: (817) 283-0612

The provider's authorized official is Leif Guttormsen .
The authorized official title is Administrator and has the following contact phone number (817) 265-7115.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 12/3/2013.

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	000222	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	452655	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	1127359-02	MEDICAID	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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