DUNELAND DIALYSIS - COFFEE CREEK – NPI #1306060140
Clinic/Center

DUNELAND DIALYSIS - COFFEE CREEK is an AHC clinic located in CHESTERTON, IN. NPPES has assigned the NPI number 1306060140 to DUNELAND DIALYSIS - COFFEE CREEK on April 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUNELAND DIALYSIS - COFFEE CREEK” is a dba name, the actual legal business name for this organization is LIBERTY DIALYSIS - DUNELAND 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 6 years ago on Aug 22, 2020. 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 DUNELAND DIALYSIS - COFFEE CREEK below.

NPI Profile for
LIBERTY DIALYSIS - DUNELAND LLC

NPI Number
1306060140
Enumeration Date

(more than 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
LIBERTY DIALYSIS - DUNELAND LLC
Doing Business As (dba): DUNELAND DIALYSIS - COFFEE CREEK
Primary location
551 SEYMOUR DRIVE
SUITE 101
CHESTERTON, IN 46304
Phone: (206) 236-3255 Fax:
Mailing address
3820 E MERCER WAY
MERCER ISLAND, WA 98040-3806
Phone: (206) 236-3255 Fax:
Organization Subpart
No
Authorized Official
GARY SCHER
EXECUTIVE VICE PRESIDENT
Phone: (260) 494-2363
Updated
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.