COLUMBIA NORTHEAST KIDNEY CENTER LLC NPI 1659672491

NPI Information

NPI: 1659672491
Provider Name: COLUMBIA NORTHEAST KIDNEY CENTER LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7499 PARKLANE RD
SUITE 136
COLUMBIA, SC
ZIP 29223
Phone: (803) 865-0554
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COLUMBIA NORTHEAST KIDNEY CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Columbia, SC. COLUMBIA NORTHEAST KIDNEY CENTER LLC NPI is 1659672491. The provider is registered as an organization entity type.

The provider's business location address is:

7499 PARKLANE RD
SUITE 136
COLUMBIA, SC
ZIP 29223-650
Phone: (803) 865-0554
Fax: (803) 865-2816

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The enumeration date for this NPI number is 11/10/2010 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RE0026	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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