Organization
DIALYSIS CENTER OF PORTERVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
841 W HENDERSON AVE, PORTERVILLE, CA 93257-1742
(559) 535-0600
(559) 535-0601
Mailing address
841 W HENDERSON AVE, PORTERVILLE, CA 93257-1742
(559) 783-0600
(559) 783-0601
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
05
—
1326485293
—
CA
Enumeration date
05/31/2013
Last updated
01/29/2024
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