Northwest Detroit Dialysis Center Llc, NPI 1083634463
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southfield, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1083634463 |
| NPI Entity Type | Organization |
| Provider Name | Northwest Detroit Dialysis Center Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 25664 Lahser Rd, Southfield, MI, US |
| Provider Mailing Address | 30100 Telegraph Rd, Suite 200, Bingham Farms, MI, US, 480254516 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. David F Shepherd |
| Official Position | VICE PRESIDENT |
| Phone | 248-642-5038 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 14296 | M CARE | 01 | |
| 10078540001 | WELLNESS | 01 | |
| 1008733 | OMNICARE | 01 | |
| D8956 | FED BLUE CROSS PRIMARY | 01 | |
| 232544 | HAP | 01 | |
| 4568218 | MI | MEDICAID | 05 |
| 000000003402 | CAPE | 01 | |
| 138129 | PREFERRED CHOICE | 01 | |
| 138129 | CARE CHOICES | 01 | |
| D8956 | BLUE CROSS PRIMARY | 01 | |
| D9466 | BLUE CROSS SECONDARY | 01 | |
| D9466 | FED BLUE CROSS SECONDARY | 01 | |
| P09457 | BLUE CARE NETWORK | 01 | |
| 5066 | GREATLAKES | 01 |
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