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NATIONAL MEDICAL CARE INC. NPI 1053423889


NPI Information

NPI: 1053423889
Provider Name: NATIONAL MEDICAL CARE, INC.

Doing Business As: RENAL CARE CENTER OF MARIETTA BMA

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 11D0665872

Address:
1277 KENNESTONE CIR STE 600
MARIETTA, GA
ZIP 30066
Phone: (770) 424-8391
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NATIONAL MEDICAL CARE, INC. is an end-stage renal disease (esrd) treatment clinic center in Marietta, GA. NATIONAL MEDICAL CARE, INC. NPI is 1053423889. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Center Of Marietta Bma.

The provider's business location address is:

1277 KENNESTONE CIR STE 600
MARIETTA, GA
ZIP 30066-029
Phone: (770) 424-8391
Fax: (770) 424-8399

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 11D0665872 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/12/2023.


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 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
1000409362AMEDICAIDGEORGIA

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

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