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Gardenside Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Scottsburg, Indiana
NPI 1568778058

Gardenside Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Gardenside Dialysis Llc practices in Scottsburg, IN. The NPI Number for Gardenside Dialysis Llc is 1568778058 and holds a License No. (Indiana).

The current practice location address for Gardenside Dialysis Llc is 1619 W Mcclain Ave, Scottsburg, IN and can be reached out via phone at 812-752-5249 and via fax at 812-752-6313.

Location: 1619 W Mcclain Ave, Scottsburg, IN, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568778058
Provider Name
Gardenside Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1619 W Mcclain Ave, Scottsburg, IN, 37027-7569
Phone Number
812-752-5249
Fax Number
812-752-6313
Provider Enumeration Date
08/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201021380A 05 IN
institution
Provider Business Practice Location Address Details
Address
1619 W Mcclain Ave
City
Scottsburg
State
Indiana
Zip
47170-1161
Phone Number
812-752-5249
Fax Number
812-752-6313
person
Provider Business Mailing Address Details
Address
1619 W Mcclain Ave
City
Scottsburg
State
Indiana
Zip
47170-1161
Phone Number
812-752-5249
Fax Number
812-752-6313
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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