NPI | 1255435814 |
---|---|
Doing Business As | AVERA GREGORY DIALYSIS UNIT |
Entity Type | Organization |
Authorized Contact | RONALD JOSEPH PLACE CEO/President 605-322-7903 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: SD 54875) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2023-10-04 |