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RENEX DIALYSIS FACILITIES INC. NPI 1487766234


NPI Information

NPI: 1487766234
Provider Name: RENEX DIALYSIS FACILITIES, INC.

Doing Business As: FRESENIUS MEDICAL CARE PORT GIBSON

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 25D1003049

Address:
105 CHINQUEPIN ST
PORT GIBSON, MS
ZIP 39150
Phone: (601) 437-3707
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RENEX DIALYSIS FACILITIES, INC. is an end-stage renal disease (esrd) treatment clinic center in Port Gibson, MS. RENEX DIALYSIS FACILITIES, INC. NPI is 1487766234. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Port Gibson.

The provider's business location address is:

105 CHINQUEPIN ST
PORT GIBSON, MS
ZIP 39150-600
Phone: (601) 437-3707
Fax: (601) 437-3784

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 25D1003049 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/16/2023.


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
100220021MEDICAIDMISSISSIPPI

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

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