FRESENIUS MEDICAL CARE NW INDIANA LLC NPI 1114271582

NPI Information

NPI: 1114271582
Provider Name: FRESENIUS MEDICAL CARE NW INDIANA, LLC

Doing Business As: PORTAGE DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5950 US HIGHWAY 6
PORTAGE, IN
ZIP 46368
Phone: (219) 762-5731
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FRESENIUS MEDICAL CARE NW INDIANA, LLC is an end-stage renal disease (esrd) treatment clinic center in Portage, IN. FRESENIUS MEDICAL CARE NW INDIANA, LLC NPI is 1114271582. The provider is registered as an organization entity type.
The provider Is Doing Business As Portage Dialysis Center.

The provider's business location address is:

5950 US HIGHWAY 6
PORTAGE, IN
ZIP 46368-946
Phone: (219) 762-5731
Fax: (219) 762-0977

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 15D0968363 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 10/18/2023.

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		INDIANA	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

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