Organization
DIALYSIS NEWCO, INC.
Active
Other names
DSI Muncie North Street Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY J BAKER (MANAGED CARE COORDINATOR)
(615) 234-1188
Entity
Organization
Contact information
Practice address
2705 W NORTH ST, MUNCIE, IN 47303-3415
(765) 747-3020
(765) 751-2772
Mailing address
424 CHURCH ST, SUITE 1900, NASHVILLE, TN 37219-2301
(615) 777-8201
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
IN
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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