Organization · Type 2 NPI

Davita Dakota Dialysis Center LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fargo, ND

NPI number 1356532550 Active

Practice location

4474 23rd Ave S, Ste M
Fargo, ND 58104-8795

Call (701) 281-3900 Map

Fax (701) 282-2635

Mailing address

5200 Virginia Way, 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...

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NPI record

NPI: 1356532550
Entity type: Organization (Type 2)
Issued: Aug 5, 2007
Last updated: Oct 15, 2024
Status: Active

Other names

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Fargo Dialysis Center · doing business as
Fargo Dialysis Center · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1356532550

Davita Dakota Dialysis Center LLC's National Provider Identifier is 1356532550, issued on Aug 5, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fargo, ND. The record was last updated on Oct 15, 2024.