Organization · Type 2 NPI

Nisene Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Park Rapids, MN

NPI number 1295179380 Active

Practice location

110 7th Street W
Park Rapids, MN 56470-1541

Call (218) 732-1000 Map

Fax (218) 732-4598

Mailing address

5200 Virginia Way, 4th Floor L&c Dept
Brentwood, TN 37027-7569

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...

NPI record

NPI: 1295179380
Entity type: Organization (Type 2)
Issued: Apr 19, 2013
Last updated: Feb 27, 2019
Status: Active

Other names

<unavail>
Park Rapids Dialysis · doing business as
Park Rapids Dialysis · doing business as

Authorized official

James K Hilger
Chief Accounting Officer
(253) 733-4500

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 1295179380

Nisene Dialysis, LLC's National Provider Identifier is 1295179380, issued on Apr 19, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Park Rapids, MN. The record was last updated on Feb 27, 2019.