GROSSE POINTE DIALYSIS LLC NPI 1730227646

NPI Information

NPI: 1730227646
Provider Name: GROSSE POINTE DIALYSIS LLC

Doing Business As: GROSSE POINTE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
18000 E WARREN AVE
STE 100
DETROIT, MI
ZIP 48224
Phone: (615) 320-4435
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GROSSE POINTE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Detroit, MI. GROSSE POINTE DIALYSIS LLC NPI is 1730227646. The provider is registered as an organization entity type.
The provider Is Doing Business As Grosse Pointe Dialysis.

The provider's business location address is:

18000 E WARREN AVE
STE 100
DETROIT, MI
ZIP 48224-336
Phone: (615) 320-4435

The provider's authorized official is Thomas O Usilton .
The authorized official title is Sr Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 3/17/2008.

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			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	232643	MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

NPI Synchronization or Removal

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