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HONEYMAN DIALYSIS LLC NPI 1477980365


NPI Information

NPI: 1477980365
Provider Name: HONEYMAN DIALYSIS LLC

Doing Business As: FIVE SEASONS DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 16D2071113

Address:
1002 4TH AVE SE
STE A
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 363-1538
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HONEYMAN DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Cedar Rapids, IA. HONEYMAN DIALYSIS LLC NPI is 1477980365. The provider is registered as an organization entity type.
The provider Is Doing Business As Five Seasons Dialysis.

The provider's business location address is:

1002 4TH AVE SE
STE A
CEDAR RAPIDS, IA
ZIP 52403-425
Phone: (319) 363-1538
Fax: (319) 364-0982

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 16D2071113 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2013 and was last updated on 2/6/2023.


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 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
11477980365MEDICAIDIOWA

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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