WILGUS DIALYSIS LLC NPI 1659843027

NPI Information

NPI: 1659843027
Provider Name: WILGUS DIALYSIS LLC

Doing Business As: MERCEDES DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1307 CAMERON ST
MERCEDES, TX
ZIP 78570
Phone: (956) 514-2596
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WILGUS DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Mercedes, TX. WILGUS DIALYSIS LLC NPI is 1659843027. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercedes Dialysis.

The provider's business location address is:

1307 CAMERON ST
MERCEDES, TX
ZIP 78570-625
Phone: (956) 514-2596
Fax: (956) 514-2550

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 12/26/2018 and was last updated on 8/24/2023.

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
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	4040313-01	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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