Organization
THE KIDNEY CARE CENTER, LLC
Active
Parent organization
THE KIDNEY CARE CENTER, LLC
Other names
The Kidney Care Center - Hobbs
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE KIDNEY CARE CENTER, LLC
Authorized official
SHONTAL CARRUTH (BILLING MANAGER)
(806) 771-0906
Entity
Organization
Contact information
Practice address
3921 N. CALLE GRANDE, HOBBS, NM 88240-0954
(575) 738-0400
(575) 738-0402
Mailing address
1126 SLIDE RD, SUITE 4B, LUBBOCK, TX 79416-5402
(806) 771-0906
(806) 771-0896
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
—
3538
NEW MEXICO DEPARTMENT OF HEALTH
NM
Enumeration date
08/29/2014
Last updated
08/16/2022
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