Organization
PAUKERT DIALYSIS INC
Active
Other names
Napa Valley Community Dialysis Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERYLE E PAUKERT RN NP (OWNER ADMINISTRATOR)
(707) 224-6533
Entity
Organization
Contact information
Practice address
1100 TRANCAS ST, SUITE #267, NAPA, CA 94558
(707) 224-6533
(707) 224-6535
Mailing address
1100 TRANCAS ST, SUITE #267, NAPA, CA 94558
(707) 224-6533
(707) 224-6535
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1764
PHC
CA
05
—
CDC70009F
—
CA
01
—
ZZZ47696Z
BLUE SHIELD PROVIDER ID
CA
Enumeration date
04/04/2006
Last updated
08/22/2020
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