Organization · Type 2 NPI
Fenton Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Harrisburg, IL
NPI number
1740690064
Active
Practice location
303 S Commercial St Ste 15
Harrisburg, IL 62946-2125
Fax (866) 651-9495
Mailing address
5200 Virginia Way, Attn: 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
Other end-stage renal disease (esrd) treatment clinic/center providers in Harrisburg
About NPI 1740690064
Fenton Dialysis LLC's National Provider Identifier is 1740690064, issued on May 8, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Harrisburg, IL. The record was last updated on May 8, 2014.