LEOMINSTER DIALYSIS LLC


Address: 20 Commercial Rd Ste 5, Leominster, MA 01453-3339
Phone: 9784663415

LEOMINSTER DIALYSIS LLC (NPI# 1760025217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760025217
Entity Type Organization
Organization Name LEOMINSTER DIALYSIS LLC
Practice Address 20 Commercial Rd Ste 5
Leominster
MA 01453-3339
Practice Telephone 9784663415
Practice Fax Number 9784663416
Mailing Telephone 9784663415
Mailing Fax Number 9784663416
Enumeration Date 2019-10-28
Last Update Date 2020-03-16
Authorized Official Name MRS. SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY)
Authorized Official Telephone 9785226087
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Office Location

Street Address 20 COMMERCIAL RD STE 5
City LEOMINSTER
State MA
Zip Code 01453-3339

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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City LEOMINSTER
Zip Code 01453

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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