WELLBOUND OF MERCER LLC NPI 1275681348

NPI Information

NPI: 1275681348
Provider Name: WELLBOUND OF MERCER LLC

Doing Business As: WELLBOUND OF MERCER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3836 QUAKERBRIDGE RD
SUITE 208
HAMILTON, NJ
ZIP 08619
Phone: (609) 586-5001
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WELLBOUND OF MERCER LLC is an end-stage renal disease (esrd) treatment clinic center in Hamilton, NJ. WELLBOUND OF MERCER LLC NPI is 1275681348. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellbound Of Mercer.

The provider's business location address is:

3836 QUAKERBRIDGE RD
SUITE 208
HAMILTON, NJ
ZIP 08619-006
Phone: (609) 586-5001
Fax: (609) 586-1862

The provider's authorized official is Susan L Del Bene .
The authorized official title is Secretary/cfo and has the following contact phone number (650) 404-3618.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 12/29/2016.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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
1	24145	OTHER	NEW JERSEY	STATE OF NEW JERSEY
2	192821	MEDICAID	NEW JERSEY
3	312591	MEDICARE OSCAR/CERTIFICATION	NEW JERSEY

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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