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RELIANT RENAL CARE - ALABAMA LLC NPI 1144459769


NPI Information

NPI: 1144459769
Provider Name: RELIANT RENAL CARE - ALABAMA, LLC

Doing Business As: RRC NORTHRIDGE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 01D1106468

Address:
4400 WATERMELON RD STE A
NORTHPORT, AL
ZIP 35473
Phone: (205) 722-2968
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RELIANT RENAL CARE - ALABAMA, LLC is an end-stage renal disease (esrd) treatment clinic center in Northport, AL. RELIANT RENAL CARE - ALABAMA, LLC NPI is 1144459769. The provider is registered as an organization entity type.
The provider Is Doing Business As Rrc Northridge.

The provider's business location address is:

4400 WATERMELON RD STE A
NORTHPORT, AL
ZIP 35473-204
Phone: (205) 722-2968
Fax: (205) 722-2996

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 01D1106468 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2009 and was last updated on 10/20/2023.


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) Treatment200903836ALABAMAYes

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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