EVEREST HEALTHCARE INDIANA INC. NPI 1730294570

NPI Information

NPI: 1730294570
Provider Name: EVEREST HEALTHCARE INDIANA, INC.

Doing Business As: TRI-COUNTIES DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
817 S 13TH ST
DECATUR, IN
ZIP 46733
Phone: (260) 724-8303
Get Directions

EVEREST HEALTHCARE INDIANA, INC. is an end-stage renal disease (esrd) treatment clinic center in Decatur, IN. EVEREST HEALTHCARE INDIANA, INC. NPI is 1730294570. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri-counties Dialysis.

The provider's business location address is:

817 S 13TH ST
DECATUR, IN
ZIP 46733-891
Phone: (260) 724-8303

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 402-9000.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »