RENAL DIALYSIS ASSOCIATES OF DAVENPORTP.C. NPI 1841217916

NPI Information

NPI: 1841217916
Provider Name: RENAL DIALYSIS ASSOCIATES OF DAVENPORT,P.C.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1228 E RUSHOLME ST STE 8
DAVENPORT, IA
ZIP 52803
Phone: (563) 326-6256
Get Directions

RENAL DIALYSIS ASSOCIATES OF DAVENPORT,P.C. is a nephrology internal medicine in Davenport, IA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. RENAL DIALYSIS ASSOCIATES OF DAVENPORT,P.C. NPI is 1841217916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1228 E RUSHOLME ST STE 8
DAVENPORT, IA
ZIP 52803-467
Phone: (563) 326-6256
Fax: (563) 326-0098

The provider's authorized official is Carol Stibolt .
The authorized official title is Office Manager and has the following contact phone number (563) 326-6273.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 10/2/2007.

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	207RN0300X	Internal Medicine	Nephrology			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	1074807	MEDICAID	IOWA
2	19933	MEDICARE ID-TYPE UNSPECIFIED	IOWA

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

NPI Synchronization or Removal

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