Fenton Dialysis Llc

NPI 1740690064 - Clinic/Center - 261QE0700X

NPI Details
NPI 1740690064
Enumeration Date 05/08/2014
Last Updated 05/08/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JAMES K JAMES
Position CHIEF ACCOUNTING OFFICER
Phone (615) 341-6657
Fax (866) 651-9495
Practice Location
303 S COMMERCIAL ST STE 15
HARRISBURG IL, 62946-2125, US
Phone (615) 341-6657
Fax (866) 651-9495
Business Location
5200 VIRGINIA WAY
ATTN: L&C DEPT
BRENTWOOD TN, 37027-7569, US
Phone (615) 341-6657
Fax (866) 651-9495
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Fenton Dialysis Llc NPI is 1740690064, taxonomy code is 261QE0700X Fenton Dialysis Llc physically located at 303 S Commercial St Ste 15, Harrisburg IL, 62946-2125. NPI Number 1033115704 has the healthcare provider type.

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1740690064 NPI number is provided on an as is basis without warranty of any kind. 1740690064 is maintained by the National Plan & Provider Enumeration System. The contents of Fenton Dialysis Llc are for informational purposes only.