NPIMap

Organization Active NPI

Satellite Healthcare Central States, LLC

Doing business as Satellite Healthcare North Laredo

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Laredo, TX
National Provider Identifier
1063878403
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
110150 Issued in TX
Legal business name
SATELLITE HEALTHCARE CENTRAL STATES, LLC
Doing business as
Satellite Healthcare North Laredo
Practice address
5501 Springfield Ave
Laredo, TX 78041-3348
Phone
(956) 724-8276
Fax
(956) 725-1223
NPI assigned
Jan 14, 2016
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Susan L Del Bene
Title
Cfo/Secretary
Phone
(650) 404-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 110150 TX Primary

Addresses

Primary practice location

5501 Springfield Ave
Laredo, TX 78041-3348

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2424
Phone (956) 724-8276

Other names 1

  • Satellite Healthcare North Laredo Doing business as

National Provider Directory

National Provider Directory
Part of
Satellite Laboratory SE

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1063878403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282424",
            "telephone_number": "956-724-8276",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 SPRINGFIELD AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413348",
            "telephone_number": "956-724-8276",
            "fax_number": "956-725-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE CENTRAL STATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE, INC.",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "DEL BENE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "650-404-3618",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare North Laredo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.