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Everest Healthcare Indiana, Inc. — NPI 1003921842, Portage, IN | NPI Central

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NPI 1003921842

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Everest Healthcare Indiana, Inc.

NPI 1003921842 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Portage, IN

Provider details

NPI number: 1003921842
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Mark Fawcett, Treasurer(781) 402-9000

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Practice location

5972 US Highway 6

Portage, IN 46368-4946

Phone: (219) 764-3637

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

5972 US Highway 6

Portage, IN 46368-4946

Other names (DBA / former)

Doing business as: Portage Dialysis Center

Registry dates

Enumerated: 2006-08-20
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.