Active NPI
Dialysis Care Center Fremont LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fremont, MI
National Provider Identifier
1467955591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYSIS CARE CENTER FREMONT LLC
- Practice address
- 1454 W. Main St
Fremont, MI 49412-0175 - Phone
- (231) 799-5259
- Fax
- (231) 335-2650
- NPI assigned
- Mar 15, 2018
- Last updated
- Jan 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morufu Alausa, MD
- Title
- Medical Director
- Phone
- (815) 741-6830
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1454 W. Main St
Fremont, MI 49412-0175
Mailing address
PO Box 3134
Joliet, IL 60434-3134
Phone (815) 741-6830
National Provider Directory
National Provider DirectoryLocations
1454 W Main St
Fremont, MI 49412
Phone (231) 799-5259
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Joliet, IL
- NPI 1730135955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546992000000",
"number": "1467955591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3134",
"city": "JOLIET",
"state": "IL",
"postal_code": "604343134",
"telephone_number": "815-741-6830",
"fax_number": "815-741-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 W. MAIN ST",
"city": "FREMONT",
"state": "MI",
"postal_code": "494120175",
"telephone_number": "231-799-5259",
"fax_number": "231-335-2650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS CARE CENTER FREMONT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-15",
"last_updated": "2019-01-09",
"status": "A",
"authorized_official_last_name": "ALAUSA",
"authorized_official_first_name": "MORUFU",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "815-741-6830",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.