Big Horn Basin Regional Dialysis Center LLC

NPI #1669818969 in Cody, Wyoming

Provider Information

NPI Number
1669818969
Entity Type
Organization
Organization Name
Big Horn Basin Regional Dialysis Center LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 14, 2013
Last Updated
Jul 15, 2019

Practice Location

Address
424 YELLOWSTONE AVE
Address 2
SUITE 150
City
Cody
State
Wyoming
ZIP Code
82414-9309
Phone
(307) 578-2223

Authorized Official

Name
MR. WILLIAM E WOOD II
Title
PRESIDENT OF MEMBER
Phone
(615) 327-3061

Specialties & Taxonomy Codes

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

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