Organization
NEPHROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MENTZ (CEO)
(574) 273-6787
Entity
Organization
Contact information
Practice address
6201 NIMTZ PARKWAY, SOUTH BEND, IN 46628-6117
(574) 246-7000
(574) 246-7007
Mailing address
221 RED COACH DRIVE, SUITE D, MISHAWAKA, IN 46545-3519
(574) 273-6787
(574) 968-0882
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2005
Last updated
08/22/2020
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