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EVEREST HEALTHCARE INDIANA INC. NPI 1124045869


NPI Information

NPI: 1124045869
Provider Name: EVEREST HEALTHCARE INDIANA, INC.

Doing Business As: FRESENIUS MEDICAL CARE OHIO VALLEY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
230 BELLEMEADE AVE
EVANSVILLE, IN
ZIP 47713
Phone: (812) 425-4111
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EVEREST HEALTHCARE INDIANA, INC. is an end-stage renal disease (esrd) treatment clinic center in Evansville, IN. EVEREST HEALTHCARE INDIANA, INC. NPI is 1124045869. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Ohio Valley.

The provider's business location address is:

230 BELLEMEADE AVE
EVANSVILLE, IN
ZIP 47713-771
Phone: (812) 425-4111
Fax: (812) 425-4169

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 7/17/2006 and was last updated on 10/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100248060AMEDICAIDINDIANA

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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