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FREEDOM HOME DIALYSIS NPI 1164797593


NPI Information

NPI: 1164797593
Provider Name: FREEDOM HOME DIALYSIS
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
288 KING STREET
COHASSET, MA
ZIP 02025
Phone: (617) 529-1023
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FREEDOM HOME DIALYSIS is an end-stage renal disease (esrd) treatment clinic center in Cohasset, MA. FREEDOM HOME DIALYSIS NPI is 1164797593. The provider is registered as an organization entity type.

The provider's business location address is:

288 KING STREET
COHASSET, MA
ZIP 02025
Phone: (617) 529-1023

The provider's authorized official is David Keith Dolan .
The authorized official title is Executive Vice President and has the following contact phone number (617) 529-1023.

The enumeration date for this NPI number is 3/19/2012 and was last updated on 3/19/2012.


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

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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