Organization
GILA RIVER HEALTH CARE CORPORATION
Active
Other names
Gila RIver Dialysis East
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN ANDERSON (INTERIM DIALYSIS ADMINISTRATOR)
(602) 271-7901
Entity
Organization
Contact information
Practice address
565 W. SEED FARM RD, SACATON, AZ 85247
(602) 271-7903
(602) 271-7970
Mailing address
PO BOX 2176, SACATON, AZ 85247-2176
(602) 271-7903
(602) 271-7970
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2005
Last updated
08/22/2020
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