PENDSTER DIALYSIS LLC NPI 1093119026

NPI Information

NPI: 1093119026
Provider Name: PENDSTER DIALYSIS LLC

Doing Business As: HUBER HEIGHTS DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7769 OLD COUNTRY CT
HUBER HEIGHTS, OH
ZIP 45424
Phone: (937) 237-0769
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PENDSTER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Huber Heights, OH. PENDSTER DIALYSIS LLC NPI is 1093119026. The provider is registered as an organization entity type.
The provider Is Doing Business As Huber Heights Dialysis.

The provider's business location address is:

7769 OLD COUNTRY CT
HUBER HEIGHTS, OH
ZIP 45424-097
Phone: (937) 237-0769
Fax: (937) 237-1981

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 enumeration date for this NPI number is 10/20/2014 and was last updated on 2/5/2024.

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	1119DC	OHIO	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	0161592	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

NPI Synchronization or Removal

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