RENAL TREATMENT CENTERS- SOUTHEAST LP (NPI# 1659674190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659674190 |
Entity Type | Organization |
Organization Name | RENAL TREATMENT CENTERS- SOUTHEAST LP |
Other Organization Name | CROWN DIALYSIS |
Practice Address |
3007 27th St N Birmingham AL 35207 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 2052970143 |
Practice Fax Number | 2052442769 |
Mailing Telephone | 6153204268 |
Mailing Fax Number | 8772380567 |
Enumeration Date | 2010-12-06 |
Last Update Date | 2018-09-13 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
S3729 | AL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 135477 | 05 |
Other Name | Type Code |
---|---|
Crown Dialysis | Doing Business As Name - Organization |
Street Address |
3007 27TH ST N |
City | BIRMINGHAM |
State | AL |
Zip Code | 35207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407402290 | Eric Wotari Harris | Technician | 2128 35th Avenue North, Birmingham, AL 35207 | 2019-08-16 |
1629228564 | Medcare Life LLC | Durable Medical Equipment & Medical Supplies | 2517 30th Ave North, Birmingham, AL 35207 | 2008-09-29 |
1912508466 | Latoya Latrice White | Licensed Practical Nurse | 1636 N Brownlee St, Birmingham, AL 35207-1100 | 2020-11-02 |
1669032686 | Erica Storey | In Home Supportive Care | 4804 Allen St, Birmingham, AL 35207-1210 | 2019-06-20 |
1679134324 | Best Life Senior Care | In Home Supportive Care | 4804 Allen St, Birmingham, AL 35207-1210 | 2019-06-24 |
1699989368 | Vivian Yvonne Madison | Occupational Therapist | 4863 Hutson Ave, Birmingham, AL 35207-1215 | 2007-05-10 |
1336353036 | Jlt Therapeutic Services,inc. | Occupational Therapist | 4863 Hutson Ave, Birmingham, AL 35207-1215 | 2007-05-10 |
1467070946 | Caring Hands Care Services LLC | Home Health | 117 40th Ave W, Birmingham, AL 35207-2400 | 2020-07-10 |
1174051593 | Pamela Elizabeth Banks | Specialist | 3700 Fl Shuttlesworth Dr, Birmingham, AL 35207-3044 | 2017-05-30 |
1508839002 | Dva Renal Healthcare Inc | Clinic/Center | 1917 32nd Ave N, Birmingham, AL 35207-3333 | 2006-02-07 |
Find all providers in zip 35207 |
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 |
---|---|---|---|---|
1346768603 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 105 Inverness Cors, Birmingham, AL 35242-3762 | 2017-09-06 |
1952764615 | Fresenius Medical Care Trussville, LLC | Clinic/Center | 3671 Roosevelt Blvd, Birmingham, AL 35235-3193 | 2016-03-31 |
1225411739 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2024 4th Ave S Ste 100, Birmingham, AL 35233-2046 | 2015-07-01 |
1992134340 | Renal Treatment Centers Southeast Lp | Clinic/Center | 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 | 2013-11-06 |
1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
1538443619 | Dialysis Newco Inc | Clinic/Center | 3201 3rd Ave S, Birmingham, AL 35222-1707 | 2011-10-06 |
1598068660 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 9540 Parkway E, Birmingham, AL 35215-8311 | 2010-12-13 |
1881903227 | Renal Treatment Centers- Southeast, Lp | Clinic/Center | 300 22nd St S, Birmingham, AL 35233-2209 | 2010-10-04 |
1992020655 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1004 Forestdale Blvd, Birmingham, AL 35214-3832 | 2010-04-06 |
1093927675 | Naphcare, Inc | Clinic/Center | 2090 Columbiana Road, Suite 4000, Birmingham, AL 35216-2158 | 2007-05-04 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35207 |
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS- SOUTHEAST LP.
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.