RIVER VALLEY DIALYSIS LLC NPI 1629326087

NPI Information

NPI: 1629326087
Provider Name: RIVER VALLEY DIALYSIS LLC

Doing Business As: RIVER VALLEY DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
300 W MAY ST
MARENGO, IA
ZIP 52301
Phone: (319) 642-8052
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RIVER VALLEY DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Marengo, IA. RIVER VALLEY DIALYSIS LLC NPI is 1629326087. The provider is registered as an organization entity type.
The provider Is Doing Business As River Valley Dialysis.

The provider's business location address is:

300 W MAY ST
MARENGO, IA
ZIP 52301-261
Phone: (319) 642-8052
Fax: (319) 642-8002

The provider's authorized official is Rodney A Buch .
The authorized official title is President and has the following contact phone number (319) 622-3131.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 1/25/2013.

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	162555	MEDICARE OSCAR/CERTIFICATION	IOWA

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

NPI Synchronization or Removal

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