ITHACA DIALYSIS CENTER – NPI #1760647150
Clinic/Center
ITHACA DIALYSIS CENTER is an AHC clinic located in ITHACA, NY. NPPES has assigned the NPI number 1760647150 to ITHACA DIALYSIS CENTER on July 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ITHACA DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is DAVITA OF NEW YORK INC. 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 ITHACA DIALYSIS CENTER below.
NPI Profile for
DAVITA OF NEW YORK INC
(about 18 years ago)
STE 206
ITHACA, NY 14850-1345 Phone: (607) 272-1693 Fax: (607) 273-5580
STE 400 L&C
BRENTWOOD, TN 37027-7569 Phone: (615) 320-4521 Fax: (866) 594-2894
VICE PRESIDENT
Phone: (253) 382-1919
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.