PINNACLE DIALYSIS INC NPI 1639162829

NPI Information

NPI: 1639162829
Provider Name: PINNACLE DIALYSIS INC

Former Legal Business Name: DIALYSIS OF BOCA DELRAY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2900 N MILITARY TRL
#195
BOCA RATON, FL
ZIP 33431
Phone: (561) 241-6667
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PINNACLE DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Boca Raton, FL. PINNACLE DIALYSIS INC NPI is 1639162829. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dialysis Of Boca Delray.

The provider's business location address is:

2900 N MILITARY TRL
#195
BOCA RATON, FL
ZIP 33431-365
Phone: (561) 241-6667
Fax: (561) 989-8550

The provider's authorized official is Craig L Stemmer .
The authorized official title is Ceo and has the following contact phone number (561) 241-6667.

The CLIA number assigned to this NPI record is 10D1094362 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 2/19/2008.

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			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	890064700	MEDICAID	FLORIDA
2	102658	MEDICARE OSCAR/CERTIFICATION
3	V4M	OTHER	FLORIDA	BCBS

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

NPI Synchronization or Removal

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