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PHYSICIANS DIALYSIS ACQUISITIONS INC NPI 1972564490


NPI Information

NPI: 1972564490
Provider Name: PHYSICIANS DIALYSIS ACQUISITIONS INC

Doing Business As: ENGLISH VILLAGE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D0969984

Address:
11707 WHITTIER AVE
DETROIT, MI
ZIP 48224
Phone: (313) 509-1653
Get Directions

PHYSICIANS DIALYSIS ACQUISITIONS INC is an end-stage renal disease (esrd) treatment clinic center in Detroit, MI. PHYSICIANS DIALYSIS ACQUISITIONS INC NPI is 1972564490. The provider is registered as an organization entity type.
The provider Is Doing Business As English Village Dialysis.

The provider's business location address is:

11707 WHITTIER AVE
DETROIT, MI
ZIP 48224-537
Phone: (313) 509-1653
Fax: (313) 509-1655

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 23D0969984 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2006 and was last updated on 10/5/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14568174MEDICAIDMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.