Gardenside Dialysis LLC
NPI #1568778058 in Scottsburg, Indiana
Provider Information
- NPI Number
- 1568778058
- Entity Type
- Organization
- Organization Name
- Gardenside Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Aug 23, 2010
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 1619 W MCCLAIN AVE
- City
- Scottsburg
- State
- Indiana
- ZIP Code
- 47170-1161
- Phone
- (812) 752-5249
Authorized Official
- Name
- JOHN D WINSTEL
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (253) 733-4501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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