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DCA OF NORTH BALTIMORE LLC NPI 1972566479


NPI Information

NPI: 1972566479
Provider Name: DCA OF NORTH BALTIMORE LLC

Doing Business As: U S RENAL CARE NORTH BALTIMORE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2700 N CHARLES ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 467-8236
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DCA OF NORTH BALTIMORE LLC is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. DCA OF NORTH BALTIMORE LLC NPI is 1972566479. The provider is registered as an organization entity type.
The provider Is Doing Business As U S Renal Care North Baltimore Dialysis.

The provider's business location address is:

2700 N CHARLES ST
BALTIMORE, MD
ZIP 21218-300
Phone: (410) 467-8236
Fax: (410) 467-8385

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Vice President & Secretary and has the following contact phone number (214) 736-2700.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 6/21/2018.


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
1411121400MEDICAIDMARYLAND
211RXOTHERMARYLANDCAREFIRST BCBS
3=========OTHERMARYLANDTRICARE
488579401OTHERMARYLANDCAREFIRST BLUELINE

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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