Organization
COMMUNITY ACCESSCARE INDIANA DIALYSIS, LLC
Active
Other names
Community Home Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RICHARD HEDRICK JD (EXECUTIVE VICE PRESIDENT)
(512) 328-6919
Entity
Organization
Contact information
Practice address
8315 E 56TH ST, SUITE 120, INDIANAPOLIS, IN 46216-1074
(317) 621-7372
(317) 355-6137
Mailing address
8315 E 56TH ST, SUITE 120, INDIANAPOLIS, IN 46216-1074
(317) 621-7372
(317) 355-6137
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/24/2016
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