RENVIVA DIALYSIS CENTER OF CLEARWATER NPI 1194178889

NPI Information

NPI: 1194178889
Provider Name: RENVIVA DIALYSIS CENTER OF CLEARWATER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D2121790

Address:
401 CORBETT ST
SUITE 250
BELLEAIR, FL
ZIP 33756
Phone: (513) 673-5245
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RENVIVA DIALYSIS CENTER OF CLEARWATER is an end-stage renal disease (esrd) treatment clinic center in Belleair, FL. RENVIVA DIALYSIS CENTER OF CLEARWATER NPI is 1194178889. The provider is registered as an organization entity type.

The provider's business location address is:

401 CORBETT ST
SUITE 250
BELLEAIR, FL
ZIP 33756-309
Phone: (513) 673-5245
Fax: (866) 352-4339

The provider's authorized official is Sandra D Fritzsch .
The authorized official title is Member and has the following contact phone number (513) 673-5245.

The CLIA number assigned to this NPI record is 10D2121790 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2016 and was last updated on 7/18/2016.

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

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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