Organization · Type 2 NPI

The Dialysis Center of West Philadelphia LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA

NPI number 1184091142 Active

Practice location

4800 Brown St Ste 201
Philadelphia, PA 19139-2106

Call (215) 581-4993 Map

Fax (215) 883-1573

Mailing address

4800 Brown St, Suite 201
Philadelphia, PA 19139-2126

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...

Other end-stage renal disease (esrd) treatment clinic/center providers in Philadelphia

See all in Philadelphia →

NPI record

NPI: 1184091142
Entity type: Organization (Type 2)
Issued: Aug 26, 2015
Last updated: Mar 11, 2020
Status: Active

Other names

<unavail>
The Dialysis Center of West Philadelphia at Mill Creek · doing business as

Authorized official

Shari K Cousins
Sr. VP of Clinical & Regulatory
(978) 922-3080

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1184091142

The Dialysis Center of West Philadelphia LLC's National Provider Identifier is 1184091142, issued on Aug 26, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 11, 2020.