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Liberty Dialysis - Baden Llc

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.

physician-icon Basic Information

Practice Location 1682 W State St, Baden, PA 15005-1207, US
Practice Location Phone724-869-2830
Practice Location Fax724-869-2928
Legal Business NameLIBERTY DIALYSIS - BADEN LLC
NPI ?1962444604
Entity TypeOrganization
Enumeration Date ? Jun 10, 2006
Last Update Date ? Jan 7, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Liberty Dialysis - Baden Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterEnd-Stage Renal Disease (ESRD) Treatment

legacy-id-icon Legacy Provider IDs of Liberty Dialysis - Baden Llc

Provider IdIssuer StateIssuer TypeIssuer
392721OtherHIGHMARK SECURITY BLUE MC
1015564120001PennsylvaniaMedicaid

official-icon Authorized Official of Liberty Dialysis - Baden Llc

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/PositionVICE PRESIDENT
Authorized Official Phone Number206-236-5001