Saipan Renal Care LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Saipan, MP
NPI 1356937023 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1356937023
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- SAIPAN RENAL CARE LLC
- Practice address
- Chalan Laulau, Beach Road
Saipan, MP 96950-0170 - Phone
- (670) 234-4747
- NPI assigned
- Dec 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Kevin Camacho Guerrero
- Title
- President
- Phone
- (670) 234-4747
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MP
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210226002429 | MP | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 2668887530 | Practice locations: Saipan, MP |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
Chalan Laulau, Beach Road
Saipan, MP 96950-0170
Mailing address
PO Box 500170
Saipan, MP 96950-0170
Phone (670) 234-4747
Other providers in Saipan, MP
- Sacred Heart Nurses, Inc
- Sagan Hinemlo' Family Clinic, LLC
- Flaviana Saimon
- Saint Joseph'S Medical Transport
- Saint Joseph'S Medical Transport
- Saipan Seventh-Day Adventist Clinic
- Saipan Visiting Nurses
- Mohamed K Salhi
- Benjamin Aurthur Sawer
- Evangeline Flores Saygo
All providers in Saipan, MP · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.