Isd Renal INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in North Providence, Rhode Island
1174579619- Practice location
- 1635 Mineral Spring Ave, North Providence, RI 02904-4025
- Phone
- 401-354-5340
- Fax
- 401-353-7020
- Last updated
- November 2, 2026
Isd Renal INC is a healthcare organization based in North Providence, RI. Isd Renal INC practices in North Providence, RI. The NPI Number for Isd Renal INC is 1174579619 and holds a License No. KDT00741 (RI). The current practice location address for Isd Renal INC is 1635 Mineral Spring Ave, North Providence, RI 02904-4025 and can be reached out via phone at 401-354-5340 and via fax at 401-353-7020.
Provider Profile Details
- NPI Number
- 1174579619
- Provider Name
- Isd Renal INC
- Provider Entity Type
- Organization
- Address
- 1635 Mineral Spring Ave, North Providence, RI 02904-4025
- Phone Number
- 401-354-5340
- Fax Number
- 401-353-7020
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Samuel T Wey · Vp, Licensure & Certification · 615-341-6641
- Other Names
- North Providence Renal Center (Doing Business As)
- Provider Enumeration Date
- May 26, 2006
- Last Update Date
- November 2, 2026
- Certification Date
- November 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1635 Mineral Spring Ave
North Providence, RI 02904-4025 - City
- North Providence
- State
- Rhode Island
- Zip
- 02904-4025
- Phone Number
- 401-354-5340
- Fax Number
- 401-353-7020
Provider Business Mailing Address Details
- Address
- 5200 Virginia Way
L&c Dept
Brentwood, TN 37027-7569 - City
- Brentwood
- State
- TN
- Zip
- 37027-7569
License Information
- License Number
- KDT00741
- License State
- RI
- Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Isd Renal INC?
The NPI number of Isd Renal INC is 1174579619. It was assigned on May 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Isd Renal INC?
Isd Renal INC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X), licensed in RI under license number KDT00741.
Where does Isd Renal INC practice?
The practice location is 1635 Mineral Spring Ave, North Providence, RI 02904-4025. The office can be reached at 401-354-5340 (phone) or 401-353-7020 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174579619 directly on the NPPES registry website.