MOSES DIALYSIS UNIT NPI 1629155304

NPI Information

  • NPI: 1629155304
  • Provider Name: MOSES DIALYSIS UNIT
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Address: 220 BURDETTE ST
    SAINT IGNACE, MI
    ZIP 49781
  • Phone: (906) 643-0408

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NPI Details

MOSES DIALYSIS UNIT is an end-stage renal disease (esrd) treatment clinic center in Saint Ignace, MI. MOSES DIALYSIS UNIT NPI is 1629155304. The provider is registered as an organization entity type.

The provider's business location address is:

220 BURDETTE ST
SAINT IGNACE, MI
ZIP 49781-712
Phone: (906) 643-0408
Fax: (906) 643-7821

The provider's authorized official is Rodney Nelson .
The authorized official title is Chief Executive Officer and has the following contact phone number (906) 643-0455.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment495001MICHIGANYes

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
14450183MEDICAIDMICHIGAN

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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