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Nra-winchester, Indiana, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Winchester, Indiana
NPI 1205996154

Nra-winchester, Indiana, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Winchester, IN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-winchester, Indiana, Llc practices in Winchester, IN. The NPI Number for Nra-winchester, Indiana, Llc is 1205996154 and holds a License No. (Indiana).

The current practice location address for Nra-winchester, Indiana, Llc is 409 Se Greenville Ave Ste 500, Winchester, IN and can be reached out via phone at 765-584-8000 and via fax at 765-584-8008.

Location: 409 Se Greenville Ave Ste 500, Winchester, IN, 47394-9465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205996154
Provider Name
Nra-winchester, Indiana, Llc
Credential
Provider Entity Type
Organization
Address
409 Se Greenville Ave Ste 500, Winchester, IN, 47394-9465
Phone Number
765-584-8000
Fax Number
765-584-8008
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15D0999746 01 IN CLIA CERT OF WAIVER
institution
Provider Business Practice Location Address Details
Address
409 Se Greenville Ave Ste 500
City
Winchester
State
Indiana
Zip
47394-9465
Phone Number
765-584-8000
Fax Number
765-584-8008
person
Provider Business Mailing Address Details
Address
409 Se Greenville Ave Ste 500
City
Winchester
State
Indiana
Zip
47394-9465
Phone Number
765-584-8000
Fax Number
765-584-8008
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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