CLARKSTON DIALYSIS – NPI #1710948211
Clinic/Center
CLARKSTON DIALYSIS is an AHC clinic located in CLARKSTON, MI. NPPES has assigned the NPI number 1710948211 to CLARKSTON DIALYSIS on April 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLARKSTON DIALYSIS” is a dba name, the actual legal business name for this organization is KIDNEY CENTERS OF MICHIGAN 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 12 years ago on Dec 19, 2013. 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 CLARKSTON DIALYSIS below.
NPI Profile for
KIDNEY CENTERS OF MICHIGAN LLC
(more than 20 years ago)
STE 205
CLARKSTON, MI 48346-2089 Phone: (248) 620-0958 Fax: (248) 620-1204
L&C DEPT
BRENTWOOD, TN 37027-7569 Phone: (615) 341-6480 Fax: (866) 381-9878
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4500
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.