ADVANCED DIALYSIS CENTER LLC NPI 1255787115

NPI Information

NPI: 1255787115
Provider Name: ADVANCED DIALYSIS CENTER, LLC

Doing Business As: ADVANCED DIALYSIS CENTER EASTON

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
610 DUTCHMANS LN
EASTON, MD
ZIP 21601
Phone: (410) 820-9873
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ADVANCED DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Easton, MD. ADVANCED DIALYSIS CENTER, LLC NPI is 1255787115. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Dialysis Center Easton.

The provider's business location address is:

610 DUTCHMANS LN
EASTON, MD
ZIP 21601-346
Phone: (410) 820-9873

The provider's authorized official is Minessia Zarita Pearson .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 577-1007.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 1/15/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	E2649	MARYLAND	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	4112326	MEDICAID	MARYLAND

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: 5/5/2024

NPI Synchronization or Removal

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