DIALYSIS SERVICES OF BELPRE INC NPI 1942350830

NPI Information

NPI: 1942350830
Provider Name: DIALYSIS SERVICES OF BELPRE, INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
809 FARSON AVE
SUITE 108
BELPRE, OH
ZIP 45714
Phone: (740) 401-0880
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DIALYSIS SERVICES OF BELPRE, INC is an end-stage renal disease (esrd) treatment clinic center in Belpre, OH. DIALYSIS SERVICES OF BELPRE, INC NPI is 1942350830. The provider is registered as an organization entity type.

The provider's business location address is:

809 FARSON AVE
SUITE 108
BELPRE, OH
ZIP 45714-066
Phone: (740) 401-0880
Fax: (740) 401-0885

The provider's authorized official is Subbarayudu Koppera .
The authorized official title is Medical Director and has the following contact phone number (740) 401-0880.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 4/30/2012.

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		OHIO	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	0533051	MEDICAID	OHIO
2	362695	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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