NPI 1063412633
Nephrology INC
Practice location
- Address
- 6201 Nimtz Parkway, South Bend, IN 46628-6117
- Phone
- (574) 246-7000
- Fax
- (574) 246-7007
- Mailing address
- 221 Red Coach Drive Suite D, Mishawaka, IN 46545-3519
Authorised official
- Name
- Keith Mentz
- Title
- Ceo
- Phone
- (574) 273-6787
Registered specialties
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
Registry record
- NPI
- 1063412633
- Entity type
- Organization
- NPI issued
- 26 Jul 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.