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NEHALL DIALYSIS LLC NPI 1053831321


NPI Information

NPI: 1053831321
Provider Name: NEHALL DIALYSIS LLC

Doing Business As: BELLEVILLE DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D2137766

Address:
10850 BELLEVILLE RD
VAN BUREN TWP, MI
ZIP 48111
Phone: (734) 697-7604
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NEHALL DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Van Buren Twp, MI. NEHALL DIALYSIS LLC NPI is 1053831321. The provider is registered as an organization entity type.
The provider Is Doing Business As Belleville Dialysis.

The provider's business location address is:

10850 BELLEVILLE RD
VAN BUREN TWP, MI
ZIP 48111-304
Phone: (734) 697-7604
Fax: (734) 697-7261

The provider's authorized official is John Winstell .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 23D2137766 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2017 and was last updated on 7/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11053831321MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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