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FRESENIUS MEDICAL CARE NW INDIANA LLC NPI 1417201773


NPI Information

NPI: 1417201773
Provider Name: FRESENIUS MEDICAL CARE NW INDIANA, LLC

Doing Business As: FRESENIUS MEDICAL CARE CROWN POINT

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 15D0917511

Address:
851 W BURRELL DR
CROWN POINT, IN
ZIP 46307
Phone: (219) 662-2648
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FRESENIUS MEDICAL CARE NW INDIANA, LLC is an end-stage renal disease (esrd) treatment clinic center in Crown Point, IN. FRESENIUS MEDICAL CARE NW INDIANA, LLC NPI is 1417201773. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Crown Point.

The provider's business location address is:

851 W BURRELL DR
CROWN POINT, IN
ZIP 46307-898
Phone: (219) 662-2648
Fax: (219) 662-3659

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 15D0917511 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2012 and was last updated on 10/18/2023.


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) TreatmentINDIANAYes

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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