RED ROCKS DIALYSIS LLC NPI 1780915298

NPI Information

NPI: 1780915298
Provider Name: RED ROCKS DIALYSIS, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: U.S RENAL CARE GALLUP PD DIALYSIS
CLIA Number: 32D2004223
Address: 1801 RED ROCK DR
GALLUP, NM
ZIP 87301
Phone: (505) 863-7257

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NPI Details

RED ROCKS DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Gallup, NM. RED ROCKS DIALYSIS, LLC NPI is 1780915298. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s Renal Care Gallup Pd Dialysis.

The provider's business location address is:

1801 RED ROCK DR
GALLUP, NM
ZIP 87301-655
Phone: (505) 863-7257

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 32D2004223 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2010 and was last updated on 8/22/2023.

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

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	74288270	MEDICAID	NEW MEXICO

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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