THE DIALYSIS CENTER OF WEST PHILADELPHIA LLC NPI 1184091142

NPI Information

NPI: 1184091142
Provider Name: THE DIALYSIS CENTER OF WEST PHILADELPHIA LLC

Doing Business As: THE DIALYSIS CENTER OF WEST PHILADELPHIA AT MILL CREEK

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4800 BROWN ST STE 201
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 581-4993
Get Directions

THE DIALYSIS CENTER OF WEST PHILADELPHIA LLC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. THE DIALYSIS CENTER OF WEST PHILADELPHIA LLC NPI is 1184091142. The provider is registered as an organization entity type.
The provider Is Doing Business As The Dialysis Center Of West Philadelphia At Mill Creek.

The provider's business location address is:

4800 BROWN ST STE 201
PHILADELPHIA, PA
ZIP 19139-106
Phone: (215) 581-4993
Fax: (215) 883-1573

The provider's authorized official is Shari K Cousins .
The authorized official title is Sr. Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The enumeration date for this NPI number is 8/26/2015 and was last updated on 3/11/2020.

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			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	1032188170001	MEDICAID	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »