Provider Demographics
NPI:1881648947
Name:INDEPENDENT NEPHROLOGY SERVICES, INC.
Entity Type:Organization
Organization Name:INDEPENDENT NEPHROLOGY SERVICES, INC.
Other - Org Name:INS - WAKE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:F
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-896-6869
Mailing Address - Street 1:15705 KNOX HILL RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5691
Mailing Address - Country:US
Mailing Address - Phone:704-896-6869
Mailing Address - Fax:704-655-7244
Practice Address - Street 1:400 ASHVILLE AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6134
Practice Address - Country:US
Practice Address - Phone:704-896-6869
Practice Address - Fax:704-655-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment