ST JOSEPH'S DIALYSIS NPI 1831249440

NPI Information

NPI: 1831249440
Provider Name: ST JOSEPH'S DIALYSIS
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Other Name: CORTLAND DIALYSIS
Address: 3993 WEST RD
CORTLAND, NY
ZIP 13045
Phone: (607) 662-0140

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NPI Details

ST JOSEPH'S DIALYSIS is an end-stage renal disease (esrd) treatment clinic center in Cortland, NY. ST JOSEPH'S DIALYSIS NPI is 1831249440. The provider is registered as an organization entity type.
The provider Other Name Is Cortland Dialysis.

The provider's business location address is:

3993 WEST RD
CORTLAND, NY
ZIP 13045-843
Phone: (607) 662-0140
Fax: (607) 662-0519

The provider's authorized official is Mark Waite .
The authorized official title is Director and has the following contact phone number (315) 703-6777.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 7/31/2009.

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
1	333551	MEDICARE OSCAR/CERTIFICATION
2	00315013	MEDICAID	NEW YORK
3	02995893	MEDICAID	NEW YORK

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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