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Active NPI 1144650722 Organization (Entity Type 2)

Srs-Ely Llc

Clinic/Center - End-Stage Renal Disease (ESRD) Treatment • Ely, NV

About Srs-Ely Llc NPI 1144650722 Summary

Srs-Ely Llc is a verified healthcare organization specializing in Clinic/Center - End-Stage Renal Disease (ESRD) Treatment operating in Ely, NV. Located at 701 EAST 15TH STREET, this facility provides patient care and medical services under National Provider Identifier (NPI) 1144650722.

Administrative operations and authorized compliance are overseen by Jerome Tannenbaum (President).

Facility Location & Contact Primary Location

Facility Address

701 East 15th Street

Ely, NV 89301

Telephone 6154670140

Fax 6152590693

Authorized Official Information

Authorized Contact Name

DR. Jerome Tannenbaum , M.D.,PHS, FACP

Title / Role

President

Official Telephone

6154670140

Facility Classifications & Specialties

Clinic/Center - End-Stage Renal Disease (ESRD) Treatment Primary Taxonomy

NUCC Taxonomy Code: 261QE0700X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events

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Updated Business Mailing Address November 23, 2020

Registered at PO BOX 198813, NASHVILLE, TN 372198813 (Tel: 6154670140)

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NPI Profile Active December 16, 2014

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2014

Registered at 701 EAST 15TH STREET, ELY, NV 89301 (Tel: 6154670140)

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Updated Business Mailing Address December 16, 2014

Registered at 511 UNION ST, SUITE 1800, NASHVILLE, TN 372191733 (Tel: 6154670140)

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Organization / Clinic Name Updated December 16, 2014

Operating as SRS-ELY LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2014

Clinic/Center

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Initial NPI Registration & Enumeration November 19, 2013

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1144650722

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 19, 2013

Last Update: November 23, 2020

Update or Correct Listing

Mailing Address

Po Box 198813

Nashville, TN 372198813

Phone: 6154670140

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.