RENAL LIFE LINK INC NPI 1063477982

NPI Information

NPI: 1063477982
Provider Name: RENAL LIFE LINK INC

Doing Business As: NELSONVILLE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH
ZIP 45764
Phone: (740) 753-2398
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RENAL LIFE LINK INC is an end-stage renal disease (esrd) treatment clinic center in Nelsonville, OH. RENAL LIFE LINK INC NPI is 1063477982. The provider is registered as an organization entity type.
The provider Is Doing Business As Nelsonville Dialysis.

The provider's business location address is:

1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH
ZIP 45764-280
Phone: (740) 753-2398
Fax: (740) 753-2495

The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 8/16/2007.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			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	362548	MEDICARE OSCAR/CERTIFICATION
2	2639390	MEDICAID	OHIO

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: 4/28/2024

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