PHYSICIANS CHOICE DIALYSIS OF SELMA LLC NPI 1629144514

NPI Information

NPI: 1629144514
Provider Name: PHYSICIANS CHOICE DIALYSIS OF SELMA, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
201 LINCOLN LN
SELMA, AL
ZIP 36701
Phone: (334) 875-5436
Get Directions

PHYSICIANS CHOICE DIALYSIS OF SELMA, LLC is an end-stage renal disease (esrd) treatment clinic center in Selma, AL. PHYSICIANS CHOICE DIALYSIS OF SELMA, LLC NPI is 1629144514. The provider is registered as an organization entity type.

The provider's business location address is:

201 LINCOLN LN
SELMA, AL
ZIP 36701-748
Phone: (334) 875-5436
Fax: (334) 872-8547

The provider's authorized official is Rhonda Palumbo .
The authorized official title is Asst Secretary Asst Treaurer and has the following contact phone number (610) 495-8900.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 9/27/2007.

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	S2403	ALABAMA	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	DIA2614D	MEDICAID	ALABAMA
2	01-2614	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
3	012-438	OTHER	ALABAMA	BLUE CROSS ALABAMA

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

NPI Synchronization or Removal

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