DIALYSIS CENTER OF WEST WARWICK LLC NPI 1073544706

NPI Information

  • NPI: 1073544706
  • Provider Name: DIALYSIS CENTER OF WEST WARWICK LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: DIALYSIS CENTER OF WARWICK
  • CLIA Number: 41D0861512
  • Address: 1775 BALD HILL RD
    WARWICK, RI
    ZIP 02886
  • Phone: (401) 823-8420

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NPI Details

DIALYSIS CENTER OF WEST WARWICK LLC is an end-stage renal disease (esrd) treatment clinic center in Warwick, RI. DIALYSIS CENTER OF WEST WARWICK LLC NPI is 1073544706. The provider is registered as an organization entity type.
The provider Is Doing Business As Dialysis Center Of Warwick.

The provider's business location address is:

1775 BALD HILL RD
WARWICK, RI
ZIP 02886-231
Phone: (401) 823-8420
Fax: (401) 821-0650

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 41D0861512 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 1/14/2023.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
14125040MEDICAIDRHODE ISLAND

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: 3/30/2025

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