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GREATER LAFAYETTE HEALTH SERVICES NPI 1609968254


NPI Information

NPI: 1609968254
Provider Name: GREATER LAFAYETTE HEALTH SERVICES

Doing Business As: DIALYSIS CENTER OF LAFAYETTE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1000 NORTH 18TH STREET
LAFAYETTE, IN
ZIP 47904
Phone: (765) 423-6351
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GREATER LAFAYETTE HEALTH SERVICES is an end-stage renal disease (esrd) treatment clinic center in Lafayette, IN. GREATER LAFAYETTE HEALTH SERVICES NPI is 1609968254. The provider is registered as an organization entity type.
The provider Is Doing Business As Dialysis Center Of Lafayette.

The provider's business location address is:

1000 NORTH 18TH STREET
LAFAYETTE, IN
ZIP 47904
Phone: (765) 423-6351

The provider's authorized official is Terrance E Wilson .
The authorized official title is Chief Executive Officer and has the following contact phone number (765) 423-6161.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/22/2020.


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) TreatmentINDIANAYes

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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