Renal Life Link Inc in Mount Vernon - End-stage Renal Disease (esrd) Treatment
Renal Life Link Inc - NPI 1326072638
Renal Life Link Inc is a End-stage Renal Disease (esrd) Treatment in Mount Vernon, Illinois. Renal Life Link Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Life Link Inc is 1326072638. The last update date is 2023-08-21.
Renal Life Link Inc's current location address is 4102 N Water Tower Pl, Mount Vernon, Illinois. You can contact this provider via phone number 6182443407 and fax number 6182426137. The mailing address for Renal Life Link Inc is 4102 N Water Tower Pl, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renal Life Link Inc |
|---|---|
| Address | 4102 N Water Tower Pl, Mount Vernon, Illinois |
| Phone Number | 6182443407 |
| Fax Number | 6182426137 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1326072638 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2023-08-21 |
Provider Mailing Address Detail
| Address | 4102 N Water Tower Pl |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628646583 |
| Phone Number | 6182443407 |
| Fax Number | 6182426137 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the Renal Life Link Inc's 1326072638?
The Renal Life Link Inc's NPI (National Provider Identifier) Number is 1326072638. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Renal Life Link Inc?
The Renal Life Link Inc is situated at 4102 N Water Tower Pl, in the city of Mount Vernon, state of IL, with the zip code 628646583.
What is Renal Life Link Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Renal Life Link Inc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Renal Life Link Inc receive the assignment of its 1326072638 from the Centers for Medicare & Medicaid Services?
The Renal Life Link Inc was issued its 1326072638 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the Renal Life Link Inc's details last updated?
The information pertaining to the Renal Life Link Inc, including its address, specialty, and other details, was most recently updated on 2023-08-21.
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