ISD RENAL INC NPI 1992751556

NPI Information

NPI: 1992751556
Provider Name: ISD RENAL INC

Doing Business As: CENTRAL FORT WAYNE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1940 BLUFFTON RD
FORT WAYNE, IN
ZIP 46809
Phone: (260) 478-2659
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ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Fort Wayne, IN. ISD RENAL INC NPI is 1992751556. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Fort Wayne Dialysis.

The provider's business location address is:

1940 BLUFFTON RD
FORT WAYNE, IN
ZIP 46809-307
Phone: (260) 478-2659
Fax: (260) 478-2553

The provider's authorized official is James K Hilger .
The authorized official title is Vp Of Reimbursement and has the following contact phone number (253) 272-1916.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 11/3/2011.

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	Other Provider Identifier Issuer
1	152580	MEDICARE OSCAR/CERTIFICATION

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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