HEAVENER DIALYSIS LLC NPI 1689008740

NPI Information

NPI: 1689008740
Provider Name: HEAVENER DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: VICTORY DIALYSIS
CLIA Number: 11D2065715
Address: 2401 SHELBY ST
COLUMBUS, GA
ZIP 31903
Phone: (706) 682-5327

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NPI Details

HEAVENER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Columbus, GA. HEAVENER DIALYSIS LLC NPI is 1689008740. The provider is registered as an organization entity type.
The provider Is Doing Business As Victory Dialysis.

The provider's business location address is:

2401 SHELBY ST
COLUMBUS, GA
ZIP 31903-000
Phone: (706) 682-5327
Fax: (706) 682-6059

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 11D2065715 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 8/26/2013.

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		GEORGIA	Yes

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

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