LIBERTY DIALYSIS - HAMMONTON LLC NPI 1992967657

NPI Information

NPI: 1992967657
Provider Name: LIBERTY DIALYSIS - HAMMONTON LLC

Doing Business As: LIBERTY DIALYSIS - HAMMONTON

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 31D2004930

Address:
392 N WHITE HORSE PIKE STE 1
HAMMONTON, NJ
ZIP 08037
Phone: (609) 561-0044
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LIBERTY DIALYSIS - HAMMONTON LLC is an end-stage renal disease (esrd) treatment clinic center in Hammonton, NJ. LIBERTY DIALYSIS - HAMMONTON LLC NPI is 1992967657. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis - Hammonton.

The provider's business location address is:

392 N WHITE HORSE PIKE STE 1
HAMMONTON, NJ
ZIP 08037-054
Phone: (609) 561-0044
Fax: (609) 561-0066

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 31D2004930 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 10/8/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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

NPI Synchronization or Removal

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