CLINTON TOWNSHIP DIALYSIS – NPI #1013101310
Clinic/Center

CLINTON TOWNSHIP DIALYSIS is an AHC clinic located in CILNTON TOWNSHIP, MI. NPPES has assigned the NPI number 1013101310 to CLINTON TOWNSHIP DIALYSIS on August 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLINTON TOWNSHIP DIALYSIS” is a dba name, the actual legal business name for this organization is CLINTON TOWNSHIP DIALYSIS LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 2 years ago on Feb 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINTON TOWNSHIP DIALYSIS below.

NPI Profile for
CLINTON TOWNSHIP DIALYSIS LLC

NPI Number
1013101310
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLINTON TOWNSHIP DIALYSIS LLC
Doing Business As (dba): CLINTON TOWNSHIP DIALYSIS
Primary location
15918 19 MILE RD
STE 110
CILNTON TOWNSHIP, MI 48038-1101
Phone: (586) 412-9195 Fax: (586) 412-9196
Mailing address
5200 VIRGINIA WAY
ATT: L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4514 Fax: (866) 594-9961
Organization Subpart
No
Authorized Official
SAMUEL WEY
VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641
Updated
Certification Date
Feb 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLINTON TOWNSHIP DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMI1013101310
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.