Organization
ST. JUDE RENAL CARE FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE SABLAN (ADMIN. / IT ASSISTANT)
(670) 234-2901
Entity
Organization
Contact information
Practice address
KULOT DI ROSA DR., CHALAN KIYA, SAIPAN HEALTH CLINIC BUILDING, SAIPAN, MP 96950-2878
(670) 234-2901
(670) 234-2906
Mailing address
PO BOX 502878, SAIPAN, MP 96950-2878
(670) 234-2901
(670) 234-2906
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
MP
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
05/19/2006
Last updated
04/14/2014
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