Organization · Type 2 NPI
Southeastern Renal Dialysis L.c.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fairfield, IA
NPI number
1144490178
Active
Practice location
2000 A S Main St
Fairfield, IA 52556
Mailing address
507 S White St
Mount Pleasant, IA 52641-2625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1144490178
Southeastern Renal Dialysis L.c.'s National Provider Identifier is 1144490178, issued on Mar 5, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fairfield, IA. The record was last updated on Jul 21, 2022.