PRATTVILLE COMMUNITY DIALYSIS LLC (NPI# 1114434230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114434230 |
| Entity Type | Organization |
| Organization Name | PRATTVILLE COMMUNITY DIALYSIS LLC |
| Practice Address |
1815 Glynwood Dr Prattville AL 36066-5584 |
| Mailing Address |
211 Commerce Ct Ste 104 Pottstown PA 19464-3483 |
| Practice Telephone | 6104958900 |
| Practice Fax Number | 6104958562 |
| Mailing Telephone | 6104958900 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-14 |
| Authorized Official Name | KELLY SMITH (DIRECTOR) |
| Authorized Official Telephone | 6104958900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
1815 GLYNWOOD DR |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-5584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982842548 | Bio-medical Applications of Alabama Inc | Clinic/Center | 692 Covered Bridge Pkwy, Prattville, AL 36066-7435 | 2009-02-04 |
| 1902860331 | Physicians Choice Dialysis of Alabama LLC | Clinic/Center | 600 Mcqueen Smith Rd S, Prattville, AL 36066-5716 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059990 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 131 Cox Creek Pkwy S, Florence, AL 35630-3264 | 2020-09-28 |
| 1740893890 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 664 S University Blvd, Mobile, AL 36609-7866 | 2020-08-28 |
| 1245841550 | Arrowhead Dialysis LLC | Clinic/Center | 1850 Mcfarland Blvd N Ste B, Tuscaloosa, AL 35406-2138 | 2020-08-11 |
| 1861000804 | Fresenius Medical Care Mobile Area, LLC | Clinic/Center | 201 Saint Joseph St Ste B, Mobile, AL 36602-3932 | 2020-07-15 |
| 1538793773 | Isd Renal Inc | Clinic/Center | 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 | 2020-02-26 |
| 1659838266 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 40 Wasden Ln, Hope Hull, AL 36043-4310 | 2019-03-01 |
| 1467916502 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1850 Parkland Dr Ne, Cullman, AL 35058-6100 | 2019-01-23 |
| 1427533561 | Fresenius Medical Care Coosa River, LLC | Clinic/Center | 708 S 4th St, Gadsden, AL 35901-5221 | 2018-09-25 |
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1902313430 | Sapphire Community Dialysis LLC | Clinic/Center | 8149 Decker Ln, Montgomery, AL 36117-4255 | 2018-01-05 |
| Find all providers with the same taxonomy | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on PRATTVILLE COMMUNITY DIALYSIS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.