Provider Demographics
NPI:1821273657
Name:DSI RENAL INC
Entity Type:Organization
Organization Name:DSI RENAL INC
Other - Org Name:DSI PHOENIX NORTH RENAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP REIMBURSEMENT SYSTEMS
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-0134
Mailing Address - Street 1:511 UNION ST
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1733
Mailing Address - Country:US
Mailing Address - Phone:615-777-8201
Mailing Address - Fax:
Practice Address - Street 1:8046 N 19TH AVE
Practice Address - Street 2:SUITE 21
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-5101
Practice Address - Country:US
Practice Address - Phone:602-864-7370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment