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PHYSICIANS CHOICE DIALYSIS OF UNION SPRINGS LLC NPI 1336433556


NPI Information

NPI: 1336433556
Provider Name: PHYSICIANS CHOICE DIALYSIS OF UNION SPRINGS LLC

Other Name: PCD UNION SPRINGS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
112 CONECUH WEST AVENUE
UNION SPRINGS, AL
ZIP 36089
Phone: (610) 495-8900
Get Directions

PHYSICIANS CHOICE DIALYSIS OF UNION SPRINGS LLC is an end-stage renal disease (esrd) treatment clinic center in Union Springs, AL. PHYSICIANS CHOICE DIALYSIS OF UNION SPRINGS LLC NPI is 1336433556. The provider is registered as an organization entity type.
The provider Other Name Is Pcd Union Springs.

The provider's business location address is:

112 CONECUH WEST AVENUE
UNION SPRINGS, AL
ZIP 36089-303
Phone: (610) 495-8900
Fax: (610) 495-8560

The provider's authorized official is Kelly Smith .
The authorized official title is Director Of Legal and has the following contact phone number (610) 495-8900.

The enumeration date for this NPI number is 6/6/2011 and was last updated on 2/6/2015.


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) TreatmentALABAMAYes

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
1135143MEDICAIDALABAMA
2012649MEDICARE OSCAR/CERTIFICATIONALABAMA
3013-576OTHERALABAMABCBS OF AL

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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