GATEWAY HOME DIALYSIS, INC.
Medical Equipment Supplier Yellow Pages
Visalia, California
Provider NPI: 1710943576
Organization Information:Organization Name: GATEWAY HOME DIALYSIS, INC.
Practice Location:
1120 N CHINOWTH ST VISALIA, CA 93291 US
Tel: 559-733-9707 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1120 N CHINOWTH ST VISALIA, CA 93291 US
Tel: 559-733-9707 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BD1200X | Suppliers Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | CA | FNP 18234 |
Y | 261QE0700X | Ambulatory Health Care Facilities Clinic/Center | CA | 240000798 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
CIGNA MEDICARE DMERC | 4970860001 | CA | 01 |
CDC02771F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin