Organization · Type 2 NPI

Portola Dialysis LLC

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

NPI number 1841597689 Active

Practice location

323 N Michigan Ave
Saginaw, MI 48602-4240

Call (989) 791-3624 Map

Fax (989) 791-3841

Mailing address

5200 Virginia Way, L&c Department
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

Elizabeth Akers, LMSW-CClinical Social Worker Saginaw, MI NPI 1992174957

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

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NPI record

NPI: 1841597689
Entity type: Organization (Type 2)
Issued: Feb 14, 2011
Last updated: Mar 4, 2021
Status: Active

Other names

<unavail>
Town Center Dialysis · doing business as
Town Center Dialysis · doing business as

Authorized official

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

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 1841597689

Portola Dialysis LLC's National Provider Identifier is 1841597689, issued on Feb 14, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Saginaw, MI. The record was last updated on Mar 4, 2021.