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Organization

AMERICAN DIALYSIS CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC HAYES (ADMINISTRATOR)
(671) 646-3773
Entity
Organization

Contact information

Practice address
1406 N MARINE CORPS DR, TAMUNING, GU 96913-4311
(671) 646-3773
(671) 647-2026
Mailing address
1406 N MARINE CORPS DR, TAMUNING, GU 96913-4311
(671) 646-3773
(671) 647-2026

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
MTL2007-009
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487731733
NPI#
GU
Enumeration date
08/05/2007
Last updated
08/05/2007
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