| Junction City Dialysis, LLC | |
|
702 Caroline Ave Junction City KS 66441-5223 | |
| (785) 827-7261 | |
| Not Available |
| Full Name | Junction City Dialysis, LLC |
|---|---|
| Speciality | Clinic/center - End-stage Renal Disease (esrd) Treatment |
| Location | 702 Caroline Ave, Junction City, Kansas |
| Authorized Official Name and Position | Brian S Pavey (OWNER) |
| Authorized Official Contact | 7858277261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740893932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | () | Primary |
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