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TAUNTON HEALTHCARE CLINIC LLC NPI 1649509175


NPI Information

NPI: 1649509175
Provider Name: TAUNTON HEALTHCARE CLINIC LLC

Doing Business As: TAUNTON REGIONAL DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 22D2006289

Address:
1 WASHINGTON ST
STE 9
TAUNTON, MA
ZIP 02780
Phone: (508) 828-5986
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TAUNTON HEALTHCARE CLINIC LLC is an end-stage renal disease (esrd) treatment clinic center in Taunton, MA. TAUNTON HEALTHCARE CLINIC LLC NPI is 1649509175. The provider is registered as an organization entity type.
The provider Is Doing Business As Taunton Regional Dialysis Center.

The provider's business location address is:

1 WASHINGTON ST
STE 9
TAUNTON, MA
ZIP 02780-960
Phone: (508) 828-5986
Fax: (508) 828-5985

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 22D2006289 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 1/10/2023.


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

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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