MEDICARE: REGIONAL DIALYSIS SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	09428	OTHER	MI	BCBSM
3	08937	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1306880075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL DIALYSIS SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 188
Second Line	:
City	:	ALMA
State	:	MI
Zip	:	48801-0188
Country	:	US
Telephone Number	:	989-466-3395
Fax Number	:	989-466-7454

Provider Business Practice Location Address
First Line	:	3170 S. PROFESSIONAL DRIVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706
Country	:	US
Telephone Number	:	989-686-8782
Fax Number	:	989-686-8563

Authorized Official
Title or Position	:	V.P. OF FINANCE
Name	:	MR. SCOTT D CURRIE
Credential	:
Telephone Number	:	989-466-3272

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	03/08/2012

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Directions to “REGIONAL DIALYSIS SERVICES INC ” Practice Location

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