Organization · Type 2 NPI

Heideck Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Roscommon, MI

NPI number 1831512003 Active

Practice location

10450 N Roscommon Rd
Roscommon, MI 48653-9296

Call (989) 275-0362 Map

Fax (989) 275-0409

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...

NPI record

NPI: 1831512003
Entity type: Organization (Type 2)
Issued: Jan 24, 2014
Last updated: Dec 21, 2022
Status: Active

Other names

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

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1831512003

Heideck Dialysis LLC's National Provider Identifier is 1831512003, issued on Jan 24, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Roscommon, MI. The record was last updated on Dec 21, 2022.