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PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC NPI 1063476489


NPI Information

NPI: 1063476489
Provider Name: PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC

Doing Business As: PHYSICIANS CHOICE DIALYSIS - ELMORE COUNTY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 01D0904453

Address:
125 HOSPITAL DRIVE
WETUMPKA, AL
ZIP 36092
Phone: (334) 514-2037
Get Directions

PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC is an end-stage renal disease (esrd) treatment clinic center in Wetumpka, AL. PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC NPI is 1063476489. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Choice Dialysis - Elmore County.

The provider's business location address is:

125 HOSPITAL DRIVE
WETUMPKA, AL
ZIP 36092-626
Phone: (334) 514-2037
Fax: (334) 514-9568

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer, Treasurer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 01D0904453 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 3/1/2023.


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) TreatmentS2601ALABAMAYes

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
11063476489MEDICAIDALABAMA
2S2601OTHERALABAMASTATE LICENSE

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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