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Organization

SATELLITE HEALTHCARE SILVER CREEK LLC

Active
Parent organization
SATELLITE HEALTHCARE INC
Other names
Satellite Healthcare Silver Creek
Organization subpart
Yes

Provider details

NPI number
Legal business name
SATELLITE HEALTHCARE INC
Authorized official
THOMAS L WEINBERG (CHAIRMAN)
(214) 736-2700
Entity
Organization

Contact information

Practice address
1620 E CAPITOL EXPY, SAN JOSE, CA 95121-1860
(408) 754-3400
(408) 274-2810
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2423
(408) 754-3400
(650) 625-6007

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
05D2050728
CLIA-CMS
CA
05
1073888699
CA
01
550002245
STATE OF CALIFORNIA
CA
01
CLR00343525
CLIA-STATE
CA
Enumeration date
03/15/2012
Last updated
05/15/2024
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