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1811943756 NPI number — ISD RENAL INC

NPI Number: 1811943756
Health Care Provider/Practitioner: ISD RENAL INC

Information about “1811943756” NPI (ISD RENAL INC) exists in 1811943756 in HTML format HTML  |  1811943756 in plain Text format TXT  |  1811943756 in PDF (Portable Document Format) PDF  |  1811943756 in an XML format XML  formats.

NPI Number : 1811943756 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811943756",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ISD RENAL INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5200 VIRGINIA WAY",
    "SecondLineMailingAddress": "L&C DEPT",
    "MailingAddressCityName": "BRENTWOOD",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37027-7569",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-341-6264",
    "MailingAddressFaxNumber": "800-297-2925",
    "FirstLinePracticeLocationAddress": "308 GALAXIE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRISONVILLE",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64701-2084",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-380-2004",
    "PracticeLocationAddressFaxNumber": "816-380-7692",
    "EnumerationDate": "05/25/2006",
    "LastUpdateDate": "12/19/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WEY",
    "AuthorizedOfficialFirstName": "SAMUEL",
    "AuthorizedOfficialMiddleName": "T",
    "AuthorizedOfficialTitle": "VP LICENSURE & CERTIFICATION",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "615-341-6641",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QE0700X",
        "TaxonomyName": "End-Stage Renal Disease (ESRD) Treatment Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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