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THE DIALYSIS COTTAGE LLC NPI 1922000587


NPI Information

NPI: 1922000587
Provider Name: THE DIALYSIS COTTAGE LLC

Doing Business As: THE DIALYSIS COTTAGE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1902 HOSPITAL BLVD
SUITE D
GAINESVILLE, TX
ZIP 76240
Phone: (940) 612-1642
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THE DIALYSIS COTTAGE LLC is an end-stage renal disease (esrd) treatment clinic center in Gainesville, TX. THE DIALYSIS COTTAGE LLC NPI is 1922000587. The provider is registered as an organization entity type.
The provider Is Doing Business As The Dialysis Cottage.

The provider's business location address is:

1902 HOSPITAL BLVD
SUITE D
GAINESVILLE, TX
ZIP 76240-007
Phone: (940) 612-1642
Fax: (940) 612-2360

The provider's authorized official is Trish A White .
The authorized official title is Administrator and has the following contact phone number (940) 612-1642.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 1/27/2010.


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) Treatment008551TEXASYes

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
1008551OTHERTEXASDSHS
2672585MEDICARE OSCAR/CERTIFICATIONTEXAS
3193949801MEDICAIDTEXAS

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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