SANDUSKY DIALYSIS LLC NPI 1366611881

NPI Information

NPI: 1366611881
Provider Name: SANDUSKY DIALYSIS LLC

Doing Business As: SANDUSKY DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
211 LAKESIDE PARK
SANDUSKY, OH
ZIP 44870
Phone: (419) 626-3809
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SANDUSKY DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Sandusky, OH. SANDUSKY DIALYSIS LLC NPI is 1366611881. The provider is registered as an organization entity type.
The provider Is Doing Business As Sandusky Dialysis Center.

The provider's business location address is:

211 LAKESIDE PARK
SANDUSKY, OH
ZIP 44870-639
Phone: (419) 626-3809
Fax: (419) 626-5107

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 enumeration date for this NPI number is 2/28/2008 and was last updated on 11/1/2022.

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	2908223	MEDICAID	OHIO

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

NPI Synchronization or Removal

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