Organization · Type 2 NPI

Liberty Dialysis - North Haven LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · North Haven, CT

NPI number 1336206408 Active

Practice location

510 Washington Ave
North Haven, CT 06473-1313

Call (203) 234-7071 Map

Fax (203) 234-6778

Mailing address

424 Church St, Suite 1900
Nashville, TN 37219-2301

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...

Another provider at this address

Renal Associates, LLCNephrology Physician North Haven, CT NPI 1366574584

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

St. Raphael Dialysis Center PartnershipEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center North Haven, CT NPI 1386896587

See all in North Haven →

NPI record

NPI: 1336206408
Entity type: Organization (Type 2)
Issued: Jan 1, 2007
Last updated: Mar 31, 2016
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

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U.s. Renal Care North Haven Dialysis · doing business as

Authorized official

Thomas L. Weinberg
Authorized Official
(214) 736-2700

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.

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About NPI 1336206408

Liberty Dialysis - North Haven LLC's National Provider Identifier is 1336206408, issued on Jan 1, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in North Haven, CT. The record was last updated on Mar 31, 2016.