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INDEPENDENT DIALYSIS FOUNDATION INC NPI 1487662243


NPI Information

NPI: 1487662243
Provider Name: INDEPENDENT DIALYSIS FOUNDATION, INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
611 S CHARLES ST
BALTIMORE, MD
ZIP 21230
Phone: (410) 468-0900
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INDEPENDENT DIALYSIS FOUNDATION, INC is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. INDEPENDENT DIALYSIS FOUNDATION, INC NPI is 1487662243. The provider is registered as an organization entity type.

The provider's business location address is:

611 S CHARLES ST
BALTIMORE, MD
ZIP 21230-801
Phone: (410) 468-0900
Fax: (410) 468-0911

The provider's authorized official is Zeke Ayele .
The authorized official title is Director Of Information Systems and has the following contact phone number (410) 468-0900.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/16/2007.


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) TreatmentE2582MARYLANDYes

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
121506OTHERMARYLANDJAI MEDICAL
20005759000MEDICAIDWEST VIRGINIA
3576241-03OTHERMARYLANDCAREFIRST
40125608OTHERMARYLANDAETNA
5215143OTHERMARYLANDMDIPA
6PS8OTHERMARYLANDFEP
7212582MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
80704865003OTHERMARYLANDCIGNA
901689292MEDICAIDPENNSYLVANIA

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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