BELMONT COURT DIALYSIS CENTER INC NPI 1073600391

NPI Information

NPI: 1073600391
Provider Name: BELMONT COURT DIALYSIS CENTER INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
6593 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19149
Phone: (215) 537-6000
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BELMONT COURT DIALYSIS CENTER INC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. BELMONT COURT DIALYSIS CENTER INC NPI is 1073600391. The provider is registered as an organization entity type.

The provider's business location address is:

6593 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19149-918
Phone: (215) 537-6000
Fax: (215) 537-8499

The provider's authorized official is Jennifer L Bamgbose .
The authorized official title is Billing Supervisor and has the following contact phone number (610) 630-1515.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 9/4/2007.

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		PENNSYLVANIA	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	50745	OTHER	PENNSYLVANIA	AETNA US HEALTH CARE
2	392618	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
3	1021750	OTHER	PENNSYLVANIA	KEYSTONE MERCY
4	1007285120013	MEDICAID	PENNSYLVANIA
5	08380	OTHER	PENNSYLVANIA	HEALTH/SENIOR PARTNERS
6	PPA06037	OTHER	PENNSYLVANIA	STATE RENAL
7	0000427000	OTHER	PENNSYLVANIA	INDEPENDENCE BLUE CROSS

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

NPI Synchronization or Removal

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