| NPI | 1497836613 |
|---|---|
| Doing Business As | COMMUNITY DIALYSIS CENTER-CLOVIS |
| Entity Type | Organization |
| Authorized Contact | CRAIG STANLEY CASTRO CEO 559-324-4884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 040000096) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-03-07 |