DOWNTOWN WARNER ROBINS DIALYSIS LLC NPI 1932823853

NPI Information

NPI: 1932823853
Provider Name: DOWNTOWN WARNER ROBINS DIALYSIS, LLC

Doing Business As: DOWNTOWN WARNER ROBINS DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1205 WATSON BLVD STE A
WARNER ROBINS, GA
ZIP 31093
Phone: (478) 719-6971
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DOWNTOWN WARNER ROBINS DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Warner Robins, GA. DOWNTOWN WARNER ROBINS DIALYSIS, LLC NPI is 1932823853. The provider is registered as an organization entity type.
The provider Is Doing Business As Downtown Warner Robins Dialysis.

The provider's business location address is:

1205 WATSON BLVD STE A
WARNER ROBINS, GA
ZIP 31093-423
Phone: (478) 719-6971

The provider's authorized official is Carlos Martinez .
The authorized official title is President and has the following contact phone number (478) 758-4526.

The CLIA number assigned to this NPI record is 11D2272251 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2022 and was last updated on 8/28/2023.

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	261QM2500X	Clinic/Center	Medical Specialty			No
2	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: 5/5/2024

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