LIBERTY DIALYSIS - FAIRFIELD LLC NPI 1073796421

NPI Information

NPI: 1073796421
Provider Name: LIBERTY DIALYSIS - FAIRFIELD, LLC

Doing Business As: LIBERTY DIALYSIS-FAIRFIELD

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
500 KINGS HWY E
FAIRFIELD, CT
ZIP 06825
Phone: (203) 583-8875
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LIBERTY DIALYSIS - FAIRFIELD, LLC is an end-stage renal disease (esrd) treatment clinic center in Fairfield, CT. LIBERTY DIALYSIS - FAIRFIELD, LLC NPI is 1073796421. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis-fairfield.

The provider's business location address is:

500 KINGS HWY E
FAIRFIELD, CT
ZIP 06825-847
Phone: (203) 583-8875
Fax: (203) 583-8880

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 enumeration date for this NPI number is 12/7/2007 and was last updated on 10/17/2023.

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: 5/5/2024

NPI Synchronization or Removal

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