Organization
PATRIOT DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY LAMSE (FACILITY ADMINISTRATOR)
(989) 856-6610
Entity
Organization
Contact information
Practice address
885 E RAILWAY ST, COLEMAN, MI 48618-9690
(989) 856-6610
(989) 856-6650
Mailing address
885 E RAILWAY ST, COLEMAN, MI 48618-9690
(989) 856-6610
(989) 856-6650
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
10/07/2022
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