LIBERTY DIALYSIS - DOYLESTOWN LLC NPI 1376746511

NPI Information

  • NPI: 1376746511
  • Provider Name: LIBERTY DIALYSIS - DOYLESTOWN LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: LIBERTY DIALYSIS - DOYLESTOWN LLC
  • CLIA Number: 39D1075058
  • Address: 2800 KELLY RD STE 110
    WARRINGTON, PA
    ZIP 18976
  • Phone: (215) 488-7226

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NPI Details

LIBERTY DIALYSIS - DOYLESTOWN LLC is an end-stage renal disease (esrd) treatment clinic center in Warrington, PA. LIBERTY DIALYSIS - DOYLESTOWN LLC NPI is 1376746511. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis - Doylestown Llc.

The provider's business location address is:

2800 KELLY RD STE 110
WARRINGTON, PA
ZIP 18976-626
Phone: (215) 488-7226
Fax: (215) 343-0483

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 39D1075058 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 10/17/2023.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11021452510001MEDICAIDPENNSYLVANIA

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: 11/21/2025

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