KERMAN DIALYSIS CENTER LLC NPI 1467847202

NPI Information

NPI: 1467847202
Provider Name: KERMAN DIALYSIS CENTER LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 05D2096582
Address: 14945 W WHITESBRIDGE AVE
KERMAN, CA
ZIP 93630
Phone: (559) 846-0023

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NPI Details

KERMAN DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Kerman, CA. KERMAN DIALYSIS CENTER LLC NPI is 1467847202. The provider is registered as an organization entity type.

The provider's business location address is:

14945 W WHITESBRIDGE AVE
KERMAN, CA
ZIP 93630-111
Phone: (559) 846-0023
Fax: (559) 846-0024

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 05D2096582 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2015 and was last updated on 1/10/2023.

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			Yes

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: 3/30/2025

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