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FREEDOM CENTER OF WESTMERE LLC NPI 1467808030


NPI Information

NPI: 1467808030
Provider Name: FREEDOM CENTER OF WESTMERE, LLC

Doing Business As: FREEDOM CENTER OF WESTMERE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D2109159

Address:
178 WASHINGTON AVENUE EXT
STE 3
ALBANY, NY
ZIP 12203
Phone: (518) 407-0505
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FREEDOM CENTER OF WESTMERE, LLC is an end-stage renal disease (esrd) treatment clinic center in Albany, NY. FREEDOM CENTER OF WESTMERE, LLC NPI is 1467808030. The provider is registered as an organization entity type.
The provider Is Doing Business As Freedom Center Of Westmere.

The provider's business location address is:

178 WASHINGTON AVENUE EXT
STE 3
ALBANY, NY
ZIP 12203-304
Phone: (518) 407-0505
Fax: (518) 407-0551

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 33D2109159 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2016 and was last updated on 8/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.