Junction City Dialysis, Llc | |
702 Caroline Ave Junction City KS 66441-5223 | |
(785) 827-7261 | |
Not Available |
Full Name | Junction City Dialysis, Llc |
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Speciality | Clinic/Center |
Location | 702 Caroline Ave, Junction City, Kansas |
Authorized Official Name and Position | Brian S Pavey (OWNER) |
Authorized Official Contact | 7858277261 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Junction City Dialysis, Llc 737 E Crawford St Salina KS 67401-5103 Ph: (785) 827-7261 | Junction City Dialysis, Llc 702 Caroline Ave Junction City KS 66441-5223 Ph: (785) 827-7261 |
NPI Number | 1740893932 |
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Provider Enumeration Date | 08/26/2020 |
Last Update Date | 05/10/2021 |
Medicare PECOS PAC ID | 9638582471 |
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Medicare Enrollment ID | O20210115000463 |
Identifier | Type | State | Issuer |
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1740893932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (* (Not Available)) | Primary |
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