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WYANDOT DIALYSIS CLINIC LLC NPI 1558985663


NPI Information

NPI: 1558985663
Provider Name: WYANDOT DIALYSIS CLINIC LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D2185171

Address:
1207 E WYANDOT AVE
UPPER SANDUSKY, OH
ZIP 43351
Phone: (513) 673-5245
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WYANDOT DIALYSIS CLINIC LLC is an end-stage renal disease (esrd) treatment clinic center in Upper Sandusky, OH. WYANDOT DIALYSIS CLINIC LLC NPI is 1558985663. The provider is registered as an organization entity type.

The provider's business location address is:

1207 E WYANDOT AVE
UPPER SANDUSKY, OH
ZIP 43351-647
Phone: (513) 673-5245

The provider's authorized official is Sandra D Fritzsch .
The authorized official title is Administrator and has the following contact phone number (513) 673-5245.

The CLIA number assigned to this NPI record is 36D2185171 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2020 and was last updated on 6/4/2020.


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

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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