Dialysis Affiliates Of South Alabama in Brewton - End-stage Renal Disease (esrd) Treatment

Dialysis Affiliates Of South Alabama - NPI 1932181278

Dialysis Affiliates Of South Alabama is a End-stage Renal Disease (esrd) Treatment in Brewton, Alabama. Dialysis Affiliates Of South Alabama practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dialysis Affiliates Of South Alabama is 1932181278. The last update date is 2011-04-29.

Dialysis Affiliates Of South Alabama's current location address is 1205 Belleville Ave, Brewton, Alabama. You can contact this provider via phone number 2518673650 and fax number 2518673610. The mailing address for Dialysis Affiliates Of South Alabama is 1205 Belleville Ave, Brewton, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dialysis Affiliates Of South Alabama
Address 1205 Belleville Ave, Brewton, Alabama
Phone Number 2518673650
Fax Number 2518673610
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Raulerson D. James
Credentials M.D.
Telephone Number 2518673650

NPI Number Detail

NPI Number 1932181278
Provider Enumeration Date 2005-11-14
Last Updated Date 2011-04-29

Provider Mailing Address Detail

Address 1205 Belleville Ave
City Brewton
State Alabama (AL)
Post Code 364261304
Phone Number 2518673650
Fax Number 2518673610

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 10749
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DIA2549D AL --
264DAS AL BC/BS OF ALABAMA

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FAQs about Dialysis Affiliates Of South Alabama

What is the unique 10-digit identifier code issued to Dialysis Affiliates Of South Alabama by the Centers for Medicare & Medicaid Services?

The Dialysis Affiliates Of South Alabama has been assigned the NPI (National Provider Identifier) 1932181278 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Dialysis Affiliates Of South Alabama is physically located?

The Dialysis Affiliates Of South Alabama is physically situated at the following address: 1205 Belleville Ave, Brewton, AL, 364261304.

What is the Dialysis Affiliates Of South Alabama's area of specialization and corresponding taxonomy classification?

The Dialysis Affiliates Of South Alabama's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.

On what date did the Dialysis Affiliates Of South Alabama receive its 1932181278 assignment from the Centers for Medicare & Medicaid Services?

The Dialysis Affiliates Of South Alabama was assigned its 1932181278 by the Centers for Medicare & Medicaid Services on 2005-11-14.

As of what date were the details pertaining to Dialysis Affiliates Of South Alabama last refreshed?

The information related to the Dialysis Affiliates Of South Alabama, including its address, specialty, and other relevant details, was last updated on 2011-04-29.

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