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INDEPENDENT DIALYSIS FOUNDATION NPI 1316914062


NPI Information

NPI: 1316914062
Provider Name: INDEPENDENT DIALYSIS FOUNDATION
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
840 HOLLINS ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 468-0900
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INDEPENDENT DIALYSIS FOUNDATION is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. INDEPENDENT DIALYSIS FOUNDATION NPI is 1316914062. The provider is registered as an organization entity type.

The provider's business location address is:

840 HOLLINS ST
BALTIMORE, MD
ZIP 21201-024
Phone: (410) 468-0900
Fax: (410) 468-0911

The provider's authorized official is Zeke Ayele .
The authorized official title is Director Of Information Systems and has the following contact phone number (410) 468-0900.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10005759000MEDICAIDWEST VIRGINIA
2215143OTHERMARYLANDIDF-PARKVIEW CENTER
301689292MEDICAIDPENNSYLVANIA
4215143OTHERMARYLANDIDF-CHESTNUT SQUARE

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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