RENAL LIFE LINK INC NPI 1972568806

NPI Information

NPI: 1972568806
Provider Name: RENAL LIFE LINK INC

Doing Business As: DAVIESS COUNTY DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
310 NE 14TH ST
WASHINGTON, IN
ZIP 47501
Phone: (812) 254-9950
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RENAL LIFE LINK INC is an end-stage renal disease (esrd) treatment clinic center in Washington, IN. RENAL LIFE LINK INC NPI is 1972568806. The provider is registered as an organization entity type.
The provider Is Doing Business As Daviess County Dialysis.

The provider's business location address is:

310 NE 14TH ST
WASHINGTON, IN
ZIP 47501-137
Phone: (812) 254-9950
Fax: (812) 254-9960

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 15D0975229 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 12/14/2020.

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

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	200521770 A	MEDICAID	INDIANA

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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