Organization · Type 2 NPI

Roushe Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mishawaka, IN

NPI number 1376984443 Active

Practice location

1420 Trinity Pl
Mishawaka, IN 46545-5005

Call (574) 231-7204 Map

Fax (574) 231-7205

Mailing address

5200 Virginia Way, Att: 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...

Another provider at this address

Total Renal Care IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Mishawaka, IN NPI 1932451671

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

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NPI record

NPI: 1376984443
Entity type: Organization (Type 2)
Issued: Jul 17, 2013
Last updated: May 23, 2024
Status: Active

Other names

<unavail>
Mishawaka Dialysis · doing business as
Mishawaka Dialysis · doing business as

Authorized official

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

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About NPI 1376984443

Roushe Dialysis LLC's National Provider Identifier is 1376984443, issued on Jul 17, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mishawaka, IN. The record was last updated on May 23, 2024.