SRS-ELY LLC – NPI #1144650722
Clinic/Center

SRS-ELY LLC is an AHC clinic located in ELY, NV. NPPES has assigned the NPI number 1144650722 to SRS-ELY LLC on November 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Nov 23, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SRS-ELY LLC below.

NPI Profile for
SRS-ELY LLC

NPI Number
1144650722
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SRS-ELY LLC
Primary location
701 EAST 15TH STREET
ELY, NV 89301
Phone: (615) 467-0140 Fax: (615) 259-0693
Mailing address
PO BOX 198813
NASHVILLE, TN 37219-8813
Phone: (615) 467-0140 Fax: (615) 259-0693
Organization Subpart
No
Authorized Official
JEROME TANNENBAUM
PRESIDENT
Phone: (615) 467-0140
Updated
Certification Date
Nov 23, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.