ELGIN DIALYSIS LLC NPI 1477814812

NPI Information

NPI: 1477814812
Provider Name: ELGIN DIALYSIS LLC

Doing Business As: BROWNFIELD DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1407 TAHOKA RD
BROWNFIELD, TX
ZIP 79316
Phone: (806) 614-4264
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ELGIN DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Brownfield, TX. ELGIN DIALYSIS LLC NPI is 1477814812. The provider is registered as an organization entity type.
The provider Is Doing Business As Brownfield Dialysis.

The provider's business location address is:

1407 TAHOKA RD
BROWNFIELD, TX
ZIP 79316-828
Phone: (806) 614-4264
Fax: (806) 614-4290

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The enumeration date for this NPI number is 6/1/2012 and was last updated on 5/10/2021.

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	110162	TEXAS	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	311298901	MEDICAID	TEXAS
2	028142	OTHER		KIDNEY HEALTH

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: 5/5/2024

NPI Synchronization or Removal

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