ELK REGIONAL DIALYSIS – NPI #1669609715
Clinic/Center

ELK REGIONAL DIALYSIS is an AHC clinic located in SAINT MARYS, PA. NPPES has assigned the NPI number 1669609715 to ELK REGIONAL DIALYSIS on June 16, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELK REGIONAL DIALYSIS” is a dba name, the actual legal business name for this organization is COOPER 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

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 ELK REGIONAL DIALYSIS below.

NPI Profile for
COOPER DIALYSIS LLC

NPI Number
1669609715
Enumeration Date

(about 17 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
COOPER DIALYSIS LLC
Doing Business As (dba): ELK REGIONAL DIALYSIS
Primary location
763 JOHNSONBURG RD
SAINT MARYS, PA 15857-3417
Phone: (615) 320-4521 Fax:
Mailing address
5200 VIRGINIA WAY
STE 400 L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4521 Fax: (866) 594-2894
Organization Subpart
No
Authorized Official
JAMES HILGER
VICE PRESIDENT
Phone: (253) 382-1919
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.