LIBERTY RC INC NPI 1619377330

NPI Information

NPI: 1619377330
Provider Name: LIBERTY RC INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: NIAGARA DIALYSIS CENTER
CLIA Number: 33D2089075
Address: 2932 MILITARY RD
NIAGARA FALLS, NY
ZIP 14304
Phone: (716) 297-4059

Map and Directions

Get Directions

NPI Details

LIBERTY RC INC is an end-stage renal disease (esrd) treatment clinic center in Niagara Falls, NY. LIBERTY RC INC NPI is 1619377330. The provider is registered as an organization entity type.
The provider Is Doing Business As Niagara Dialysis Center.

The provider's business location address is:

2932 MILITARY RD
NIAGARA FALLS, NY
ZIP 14304-252
Phone: (716) 297-4059
Fax: (716) 297-4969

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 33D2089075 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 12/6/2024.

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			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	04103513	MEDICAID	NEW YORK

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI