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NPI Code Detail

MEDICARE: DSI RENAL INC

MEDICARE: DSI RENAL 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1851346076
Entity Type Code : Organization
Provider Name (Legal Business Name) : DSI RENAL INC
Provider Business Mailing Address
First Line : 511 UNION ST
Second Line : SUITE 1800
City : NASHVILLE
State : TN
Zip : 37219-1733
Country : US
Telephone Number : 615-467-0134
Fax Number : 615-234-2422
Provider Business Practice Location Address
First Line : 1489 W WARM SPRINGS RD
Second Line : #122
City : HENDERSON
State : NV
Zip : 89014-7635
Country : US
Telephone Number : 702-450-8877
Fax Number : 702-450-8887
Authorized Official
Title or Position : VP OF REIMBURSEMENT
Name : MRS. GRETCHEN K BARR
Credential :
Telephone Number : 615-467-0134
Provider Enumeration Date : 05/24/2006
Last Update Date : 02/06/2008

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