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DIALYSIS CENTER OF LINCOLN INC NPI 1679577605


NPI Information

NPI: 1679577605
Provider Name: DIALYSIS CENTER OF LINCOLN, INC

Doing Business As: DIALYSIS CENTER OF COLUMBUS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 28D0928441

Address:
2452 39TH AVE
COLUMBUS, NE
ZIP 68601
Phone: (402) 563-2139
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DIALYSIS CENTER OF LINCOLN, INC is an end-stage renal disease (esrd) treatment clinic center in Columbus, NE. DIALYSIS CENTER OF LINCOLN, INC NPI is 1679577605. The provider is registered as an organization entity type.
The provider Is Doing Business As Dialysis Center Of Columbus.

The provider's business location address is:

2452 39TH AVE
COLUMBUS, NE
ZIP 68601-255
Phone: (402) 563-2139
Fax: (402) 563-9145

The provider's authorized official is Larry C Emerson .
The authorized official title is Administrator and has the following contact phone number (402) 489-5339.

The CLIA number assigned to this NPI record is 28D0928441 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 5/10/2011.


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) TreatmentESRD020NEBRASKAYes

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
1=========001MEDICAIDNEBRASKA
2282509MEDICARE OSCAR/CERTIFICATIONNEBRASKA

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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