Wallowa Dialysis Llc

NPI 1023360955 - Clinic/Center - 261QE0700X

NPI Details
NPI 1023360955
Enumeration Date 10/02/2012
Last Updated 04/15/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JAMES K JAMES
Position CHIEF ACCOUNTING OFFICER
Phone (419) 747-4039
Fax (419) 747-4046
Practice Location
2148 W 4TH ST
ONTARIO OH, 44906-1200, US
Phone (419) 747-4039
Fax (419) 747-4046
Business Location
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD TN, 37027-7569, US
Phone (615) 341-6793
Fax (877) 675-1478
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Wallowa Dialysis Llc NPI is 1023360955, taxonomy code is 261QE0700X Wallowa Dialysis Llc physically located at 2148 W 4th St, Ontario OH, 44906-1200. NPI Number 1033115704 has the healthcare provider type.

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1023360955 NPI number is provided on an as is basis without warranty of any kind. 1023360955 is maintained by the National Plan & Provider Enumeration System. The contents of Wallowa Dialysis Llc are for informational purposes only.