Osceola Dialysis

NPI 1235558073 - Clinic/Center - 261QE0700X

NPI Details
NPI 1235558073
Enumeration Date 04/09/2014
Last Updated 04/09/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KENT KENT
Position CEO
Phone (253) 382-1752
Fax
Practice Location
1423 PACIFIC AVE
TACOMA WA, 98402-4203, US
Phone (253) 382-1752
Fax
Business Location
1332 W KEISER AVE
OSCEOLA AR, 72370-2919, US
Phone (870) 563-4901
Fax (870) 563-4959
Toxanomy
Taxonomy Code 261QE0700X
License State Arkansas
License Number 1174578595
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According to our database, Osceola Dialysis NPI is 1235558073, taxonomy code is 261QE0700X and license number is 1174578595, license state is located at Arkansas. Osceola Dialysis physically located at 1423 Pacific Ave, Tacoma WA, 98402-4203. NPI Number 1033115704 has the healthcare provider type.

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1235558073 NPI number is provided on an as is basis without warranty of any kind. 1235558073 is maintained by the National Plan & Provider Enumeration System. The contents of Osceola Dialysis are for informational purposes only.