ISD RENAL INC NPI 1730695024

NPI Information

  • NPI: 1730695024
  • Provider Name: ISD RENAL INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: WHITING DIALYSIS
  • CLIA Number: 15D2146218
  • Address: 816 119TH ST
    WHITING, IN
    ZIP 46394
  • Phone: (219) 473-0712

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NPI Details

ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Whiting, IN. ISD RENAL INC NPI is 1730695024. The provider is registered as an organization entity type.
The provider Is Doing Business As Whiting Dialysis.

The provider's business location address is:

816 119TH ST
WHITING, IN
ZIP 46394-401
Phone: (219) 473-0712
Fax: (219) 473-0931

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 15D2146218 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2017 and was last updated on 5/9/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1300023252MEDICAIDINDIANA

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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