Provider Type Icon

BIO-MEDICAL APPLICATIONS OF TENNESSEE INC. NPI 1902918717


NPI Information

NPI: 1902918717
Provider Name: BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC.

Doing Business As: FMC DIALYSIS SERVICES OF KINGSPORT

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 44D0867839

Address:
2002 BROOKSIDE DR STE 101
KINGSPORT, TN
ZIP 37660
Phone: (423) 245-6464
Get Directions

BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC. is an end-stage renal disease (esrd) treatment clinic center in Kingsport, TN. BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC. NPI is 1902918717. The provider is registered as an organization entity type.
The provider Is Doing Business As Fmc Dialysis Services Of Kingsport.

The provider's business location address is:

2002 BROOKSIDE DR STE 101
KINGSPORT, TN
ZIP 37660-634
Phone: (423) 245-6464
Fax: (423) 245-7255

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 44D0867839 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/31/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10442577MEDICAIDTENNESSEE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.