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CLERMONT DIALYSIS CENTER LLC NPI 1467902296


NPI Information

NPI: 1467902296
Provider Name: CLERMONT DIALYSIS CENTER LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1625 HANCOCK RD
CLERMONT, FL
ZIP 34711
Phone: (352) 243-2083
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CLERMONT DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Clermont, FL. CLERMONT DIALYSIS CENTER LLC NPI is 1467902296. The provider is registered as an organization entity type.

The provider's business location address is:

1625 HANCOCK RD
CLERMONT, FL
ZIP 34711-667
Phone: (352) 243-2083
Fax: (352) 243-2084

The provider's authorized official is Shari K Cousins .
The authorized official title is Sr. Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 3/12/2020.


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

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: 11/14/2023

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.