PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC (NPI# 1902860331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902860331 |
Entity Type | Organization |
Organization Name | PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC |
Other Organization Name | PHYSICIANS CHOICE DIALYSIS-PRATTVILLE |
Practice Address |
600 Mcqueen Smith Rd S Prattville AL 36066-5716 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 3345811576 |
Practice Fax Number | 3343582139 |
Mailing Telephone | 6153204268 |
Mailing Fax Number | 8772380567 |
Enumeration Date | 2006-04-13 |
Last Update Date | 2019-11-14 |
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 |
S0101 | AL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | DIA2535D | 05 |
Other Name | Type Code |
---|---|
Physicians Choice Dialysis-Prattville | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760446199 | Physicians Choice Dialysis of Alabama LLC | Clinic/Center | 1001 Forest Avenue, Montgomery, AL 36106 | 2006-04-13 |
1063476489 | Physicians Choice Dialysis of Alabama LLC | Clinic/Center | 125 Hospital Drive, Wetumpka, AL 36092 | 2006-04-13 |
1932163359 | Physicians Choice Dialysis of Alabama LLC | Clinic/Center | 6890 Winton Blount Blvd, Montgomery, AL 36117 | 2006-04-13 |
Street Address |
600 MCQUEEN SMITH RD S |
City | PRATTVILLE |
State | AL |
Zip Code | 36066-5716 |
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 |
---|---|---|---|---|
1114434230 | Prattville Community Dialysis LLC | Clinic/Center | 1815 Glynwood Dr, Prattville, AL 36066-5584 | 2018-01-10 |
1982842548 | Bio-medical Applications of Alabama Inc | Clinic/Center | 692 Covered Bridge Pkwy, Prattville, AL 36066-7435 | 2009-02-04 |
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 PHYSICIANS CHOICE DIALYSIS OF ALABAMA 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.