Organization
JUNCTION CITY DIALYSIS, LLC
Active
Organization
JUNCTION CITY DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S PAVEY DO (OWNER)
(785) 827-7261
Entity
Organization
Contact information
Practice address
702 CAROLINE AVE, JUNCTION CITY, KS 66441-5223
(785) 827-7261
Mailing address
737 E CRAWFORD ST, SALINA, KS 67401-5103
(785) 827-7261
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
05/10/2021
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