Qualicenters Pueblo, LLC

NPI #1639281439 in La Junta, Colorado

Provider Information

NPI Number
1639281439
Entity Type
Organization
Organization Name
Qualicenters Pueblo, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 31, 2006
Last Updated
Oct 13, 2023

Practice Location

Address
1012 HAYES AVE
ZIP Code
81050-2107
Phone
(719) 383-2300

Authorized Official

Name
BARRY L. BLANTON
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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