Organization
SATELLITE DIALYSIS-CENTRAL MODESTO LLC
Active
Parent organization
SATELLITE HEALTHCARE INC
Other names
Satellite Healthcare Central Modesto
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATELLITE HEALTHCARE INC
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL, PRESIDENT & CH)
(214) 736-2730
Entity
Organization
Contact information
Practice address
1315 10TH ST, SUITE 300, MODESTO, CA 95354-0714
(209) 238-4087
(209) 238-4092
Mailing address
5851 LEGACY CIR STE 900, PLANO, TX 75024-5982
(214) 736-2700
(214) 975-2435
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110000527
STATE OF CALIFORNIA
CA
Enumeration date
01/30/2006
Last updated
05/15/2024
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