THE KIDNEY CARE CENTER, LLC-LUBBOCK – NPI #1801420864
Clinic/Center

THE KIDNEY CARE CENTER, LLC-LUBBOCK is an AHC clinic located in LUBBOCK, TX. NPPES has assigned the NPI number 1801420864 to THE KIDNEY CARE CENTER, LLC-LUBBOCK on February 28, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE KIDNEY CARE CENTER, LLC-LUBBOCK” is a dba name, the actual legal business name for this organization is THE KIDNEY CARE CENTER, LLC. This provider is also associated with 2 additional names listed below. 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 4 years ago on Aug 16, 2022. 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 THE KIDNEY CARE CENTER, LLC-LUBBOCK below.

NPI Profile for
THE KIDNEY CARE CENTER, LLC

NPI Number
1801420864
Enumeration Date

(more than 6 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
THE KIDNEY CARE CENTER, LLC
Doing Business As (dba): THE KIDNEY CARE CENTER, LLC-LUBBOCK
Other name(s)
All associated names:
Doing Business As (dba)
The Kidney Care Center, LLC - Lubbock
Doing Business As (dba)
The Kidney Care Center, LLC-Lubbock
Primary location
3702 INTERSTATE 27
LUBBOCK, TX 79412
Phone: (806) 429-1054 Fax: (806) 256-7077
Mailing address
1126 SLIDE RD UNIT 4B
LUBBOCK, TX 79416-5402
Phone: (806) 771-0906 Fax: (806) 771-0896
Organization Subpart
No
Authorized Official
SHONTAL CARRUTH
BILLING MANAGER
Phone: (806) 771-0906
Updated
Certification Date
Aug 16, 2022

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.