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BIO-MEDICAL APPLICATIONS OF GEORGIA INC. NPI 1295837490


NPI Information

NPI: 1295837490
Provider Name: BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

Doing Business As: FMC NEW BAILIE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 11D1001032

Address:
1717 WALTON WAY
AUGUSTA, GA
ZIP 30904
Phone: (706) 481-6920
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BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. is an end-stage renal disease (esrd) treatment clinic center in Augusta, GA. BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. NPI is 1295837490. The provider is registered as an organization entity type.
The provider Is Doing Business As Fmc New Bailie Dialysis.

The provider's business location address is:

1717 WALTON WAY
AUGUSTA, GA
ZIP 30904-705
Phone: (706) 481-6920
Fax: (706) 481-8370

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 11D1001032 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/14/2023.


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) TreatmentYes

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
1000814184IMEDICAIDGEORGIA

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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