DIALYSIS NEWCO LLC NPI 1689940116

NPI Information

NPI: 1689940116
Provider Name: DIALYSIS NEWCO LLC

Doing Business As: DSI WATERVILET DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D2016361

Address:
8816 RED ARROW HWY
WATERVLIET, MI
ZIP 49098
Phone: (269) 463-3719
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DIALYSIS NEWCO LLC is an end-stage renal disease (esrd) treatment clinic center in Watervliet, MI. DIALYSIS NEWCO LLC NPI is 1689940116. The provider is registered as an organization entity type.
The provider Is Doing Business As Dsi Watervilet Dialysis.

The provider's business location address is:

8816 RED ARROW HWY
WATERVLIET, MI
ZIP 49098-536
Phone: (269) 463-3719
Fax: (269) 463-3901

The provider's authorized official is Tammy J Baker .
The authorized official title is Managed Care Coordinator and has the following contact phone number (615) 234-1188.

The CLIA number assigned to this NPI record is 23D2016361 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 7/13/2023.

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		MICHIGAN	Yes

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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