Organization Name: | CERITO DIALYSIS PARTNERS LLC |
NPI Number: | 1073839296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Mailing Address: | 7990 Trinity Rd Ste 101 Cordova |
State: | TN US |
Postal Code: | 380187730 |
Phone Number: | 9017513120 |
Fax Number: | 9017513223 |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |