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HARRIS DIALYSIS LLC NPI 1225399835


NPI Information

NPI: 1225399835
Provider Name: HARRIS DIALYSIS LLC

Doing Business As: LIMESTONE COUNTY DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 01D2031580

Address:
16236 LUCAS FERRY RD
ATHENS, AL
ZIP 35611
Phone: (256) 233-3965
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HARRIS DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Athens, AL. HARRIS DIALYSIS LLC NPI is 1225399835. The provider is registered as an organization entity type.
The provider Is Doing Business As Limestone County Dialysis.

The provider's business location address is:

16236 LUCAS FERRY RD
ATHENS, AL
ZIP 35611-931
Phone: (256) 233-3965
Fax: (256) 233-3184

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

The CLIA number assigned to this NPI record is 01D2031580 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2012 and was last updated on 5/29/2020.


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) TreatmentS4202ALABAMAYes

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
1137273MEDICAIDALABAMA

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

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