Organization Name: | THE DIALYSIS CENTER OF SCHERERVILLE LLC |
NPI Number: | 1275991531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN J. MCDONOUGH (COO) |
Mailing Address: | 1534 Us Highway 41 Schererville |
State: | IN US |
Postal Code: | 463751316 |
Phone Number: | 2193225448 |
Fax Number: | 2193225315 |
NPI Enumeration Date: | 02/02/2016 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |