RENAL CENTER OF FORT DODGE, LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Dodge, IA. RENAL CENTER OF FORT DODGE, LLC NPI is 1023397718. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Center Of Fort Dodge.
The provider's business location address is:
117 S 25TH ST
FORT DODGE, IA
ZIP 50501-357
Phone: (515) 206-6583
Fax: (515) 206-6606
The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 16D0996680 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/11/2011 and was last updated on 1/16/2024.