Moses Dialysis Unit
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Saint Ignace, MI
NPI 1629155304 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1629155304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 495001 (MI)
- Legal business name
- MOSES DIALYSIS UNIT
- Practice address
- 220 Burdette St
Saint Ignace, MI 49781-1712 - Phone
- (906) 643-0408
- Fax
- (906) 643-7821
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Rodney Nelson
- Title
- Chief Executive Officer
- Phone
- (906) 643-0455
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 495001 | MI | Yes |
Addresses
Primary practice location
220 Burdette St
Saint Ignace, MI 49781-1712
Mailing address
220 Burdette St
Saint Ignace, MI 49781-1712
Phone (906) 643-0408
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4450183 | Medicaid | MI |
Other providers in Saint Ignace, MI
- Karli May Maurer
- Mark W Mercer
- Michael W Johnson, MD, PC
- Krystal Lorraine Mittelsteadt
- Kathryn E Mizzi
- Deborah Narrin
- Joseph Marvyn Neri
- Nicholas R Newhouse
- Mary Joe North
- Donna Marie Nye I
All providers in Saint Ignace, MI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.