FERNE DIALYSIS LLC NPI 1164972550

NPI Information

FERNE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Terre Haute, IN. FERNE DIALYSIS LLC NPI is 1164972550. The provider is registered as an organization entity type.
The provider Is Doing Business As Terre Haute Dialysis.

The provider's business location address is:

504 6TH AVE
TERRE HAUTE, IN
ZIP 47807-025
Phone: (812) 231-8560
Fax: (812) 232-8501

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 15D2124897 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 3/17/2023.

Taxonomy Codes

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Other Identifiers

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