OrganizationActive
Southeastern Renal Dialysis L.c.
NPI 1144490178 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fairfield, IA
Provider details
- NPI number
- 1144490178
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Southeastern Renal Dialysis L.c.
- Organization subpart
- Yes
- Authorized official
- Mary Liechty, Administrator(319) 385-6728
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2000 a S Main St
Fairfield, IA 52556
Phone: (641) 469-3313
Approximate (ZIP-level) locationGet directions
Mailing address
507 S White St
Mt Pleasant, IA 52641-2625
Registry dates
- Enumerated
- 2008-03-05
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.