EUFAULA DIALYSIS LLC NPI 1215275615

NPI Information

EUFAULA DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in North Haledon, NJ. EUFAULA DIALYSIS LLC NPI is 1215275615. The provider is registered as an organization entity type.
The provider Is Doing Business As North Haledon Dialysis.

The provider's business location address is:

953 BELMONT AVE
NORTH HALEDON, NJ
ZIP 07508-548
Phone: (973) 427-4675
Fax: (973) 423-0906

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 31D2057932 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2013 and was last updated on 6/17/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.