PORTAGE DIALYSIS CENTER
NPI 1003921842
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Portage, IN

Active since August 20, 2006
5972 US HIGHWAY 6, PORTAGE, IN 46368(219) 764-3637 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portage Dialysis Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTAGE DIALYSIS CENTER (NPI 1003921842) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Portage, Indiana and active in the NPI registry since August 2006. The organization lists Mark Fawcett, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1003921842
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameEVEREST HEALTHCARE INDIANA, INC.
Location Address5972 US HIGHWAY 6Portage, IN 46368-4946
Mailing Address5972 Us Highway 6Portage, IN 46368-4946
Organization SubpartNo
Authorized OfficialMark FawcettTreasurer · (781) 402-9000
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1003921842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
5972 US HIGHWAY 6, Portage, IN 46368

Other Names 1

Doing Business AsPortage Dialysis Center

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everest Healthcare Indiana, Inc.'s NPI number?

The NPI number for Everest Healthcare Indiana, Inc. is 1003921842. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Portage Dialysis Center.

Where is Everest Healthcare Indiana, Inc. located?

Everest Healthcare Indiana, Inc. is located at 5972 Us Highway 6, Portage, IN 46368. The listed phone number is (219) 764-3637.

What is Everest Healthcare Indiana, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Everest Healthcare Indiana, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.