KIDNEY TREATMENT CENTER NORTHWEST P A – NPI #1568466506
Clinic/Center

KIDNEY TREATMENT CENTER NORTHWEST P A is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1568466506 to KIDNEY TREATMENT CENTER NORTHWEST P A on June 08, 2005. 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 14 years ago on Jan 25, 2012. 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 KIDNEY TREATMENT CENTER NORTHWEST P A below.

NPI Profile for
KIDNEY TREATMENT CENTER NORTHWEST P A

NPI Number
1568466506
Enumeration Date

(more than 21 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
KIDNEY TREATMENT CENTER NORTHWEST P A
Primary location
3939 MEDICAL DR
STE 110
SAN ANTONIO, TX 78229-2292
Phone: (210) 692-3075 Fax: (210) 692-0187
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JESSICA MEDOLA
SUPERVISOR
Phone: (210) 692-1515
Updated
Identifiers

Identifiers for KIDNEY TREATMENT CENTER NORTHWEST P A

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSTXHH6407
MEDICAIDTX0943250-02
MEDICAIDTX1452880-02
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)
TX 007316

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.