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FRESENIUS MEDICAL CARE SOUTHERN DELAWARE LLC NPI 1992256366


NPI Information

NPI: 1992256366
Provider Name: FRESENIUS MEDICAL CARE SOUTHERN DELAWARE, LLC

Doing Business As: DOVER HOME DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 08D2128690

Address:
1198 S GOVERNORS AVE BLDG B
DOVER, DE
ZIP 19904
Phone: (302) 736-1340
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FRESENIUS MEDICAL CARE SOUTHERN DELAWARE, LLC is an end-stage renal disease (esrd) treatment clinic center in Dover, DE. FRESENIUS MEDICAL CARE SOUTHERN DELAWARE, LLC NPI is 1992256366. The provider is registered as an organization entity type.
The provider Is Doing Business As Dover Home Dialysis Center.

The provider's business location address is:

1198 S GOVERNORS AVE BLDG B
DOVER, DE
ZIP 19904-930
Phone: (302) 736-1340
Fax: (302) 736-1345

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 08D2128690 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/19/2023.


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

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

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