FENTON DIALYSIS LLC NPI 1740690064

NPI Information

NPI: 1740690064
Provider Name: FENTON DIALYSIS LLC

Doing Business As: HARRISBURG HOME TRAINING

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
303 S COMMERCIAL ST STE 15
HARRISBURG, IL
ZIP 62946
Phone: (615) 341-6657
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FENTON DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Harrisburg, IL. FENTON DIALYSIS LLC NPI is 1740690064. The provider is registered as an organization entity type.
The provider Is Doing Business As Harrisburg Home Training.

The provider's business location address is:

303 S COMMERCIAL ST STE 15
HARRISBURG, IL
ZIP 62946-125
Phone: (615) 341-6657
Fax: (866) 651-9495

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The enumeration date for this NPI number is 5/8/2014 and was last updated on 5/8/2014.

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

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