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BABLER DIALYSIS LLC NPI 1629461470


NPI Information

NPI: 1629461470
Provider Name: BABLER DIALYSIS, LLC

Doing Business As: ROCHESTER DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 24D2095181

Address:
2660 S BROADWAY
STE A
ROCHESTER, MN
ZIP 55904
Phone: (507) 288-1617
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BABLER DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Rochester, MN. BABLER DIALYSIS, LLC NPI is 1629461470. The provider is registered as an organization entity type.
The provider Is Doing Business As Rochester Dialysis.

The provider's business location address is:

2660 S BROADWAY
STE A
ROCHESTER, MN
ZIP 55904-263
Phone: (507) 288-1617
Fax: (507) 289-0672

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

The CLIA number assigned to this NPI record is 24D2095181 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2015 and was last updated on 9/26/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11629461470MEDICAIDMINNESOTA

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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