Liberty Dialysis - Baden Llc is a health care provider in Mercer Island, WA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1682 W State St, Baden, PA 15005-1207, US|
|Practice Location Phone||724-869-2830|
|Practice Location Fax||724-869-2928|
|Legal Business Name||LIBERTY DIALYSIS - BADEN LLC|
|Enumeration Date ?||Jun 10, 2006|
|Last Update Date ?||Jan 7, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||End-Stage Renal Disease (ESRD) Treatment|
|Provider Id||Issuer State||Issuer Type||Issuer|
|392721||Other||HIGHMARK SECURITY BLUE MC|
|392721||Medicare Id-type Unspecified||PROIVDER NUMBER|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Liberty Dialysis - Baden Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Ryan B Pardo|
|Authorized Official Title/Position||VICE PRESIDENT|
|Authorized Official Phone Number||206-236-5001|