METHODIST HEALTHCARE DIALYSIS CENTER LLC NPI 1699836411

NPI Information

NPI: 1699836411
Provider Name: METHODIST HEALTHCARE DIALYSIS CENTER, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 44D0973582

Address:
8071 WINCHESTER RD
SUITE 3
MEMPHIS, TN
ZIP 38125
Phone: (901) 759-2020
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METHODIST HEALTHCARE DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Memphis, TN. METHODIST HEALTHCARE DIALYSIS CENTER, LLC NPI is 1699836411. The provider is registered as an organization entity type.

The provider's business location address is:

8071 WINCHESTER RD
SUITE 3
MEMPHIS, TN
ZIP 38125-206
Phone: (901) 759-2020
Fax: (901) 759-2025

The provider's authorized official is John Mitchell Graves .
The authorized official title is President and has the following contact phone number (901) 516-1400.

The CLIA number assigned to this NPI record is 44D0973582 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

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	160	TENNESSEE	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: 4/28/2024

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