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Nephrology INC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Elkhart, IN. Organization (NPI-2).

NPI number1972503548
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1972503548
Entity type
Organization (NPI-2)
Legal business name
Nephrology INC
Organization subpart
No
Enumeration date
Jul 26, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Practice location

700 Waterbury Park Drive
Elkhart, IN 46517-2339

Phone 574-294-4444 · Fax 574-295-7400

Mailing address

221 Red Coach Drive
Suite D
Mishawaka, IN 46545-3519

Phone 574-273-6787 · Fax 574-968-0882

Authorized official

Keith Mentz
Ceo
5742736787

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Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Elkhart, IN

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