Dca Of Central Valdosta Llc in Jonesboro - End-stage Renal Disease (esrd) Treatment
Dca Of Central Valdosta Llc - NPI 1982667408
Dca Of Central Valdosta Llc is a End-stage Renal Disease (esrd) Treatment in Jonesboro, Arkansas. Dca Of Central Valdosta Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dca Of Central Valdosta Llc is 1982667408. The last update date is 2018-06-21.
Dca Of Central Valdosta Llc's current location address is Po Box 19119, Jonesboro, Arkansas. You can contact this provider via phone number 8709315400 and fax number 8709315418. The mailing address for Dca Of Central Valdosta Llc is Po Box 19119, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dca Of Central Valdosta Llc |
|---|---|
| Address | Po Box 19119, Jonesboro, Arkansas |
| Phone Number | 8709315400 |
| Fax Number | 8709315418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Weinberg L. Thomas |
| Telephone Number | 2147362700 |
NPI Number Detail
| NPI Number | 1982667408 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | Po Box 19119 |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724036601 |
| Phone Number | 8709315400 |
| Fax Number | 8709315418 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
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 |
|---|---|---|---|
| 000895309E | GA | -- | |
| 112699 | GA | VA MEDICAL CENTER |
Post Comment/ Review Below
What is the Dca Of Central Valdosta Llc's unique identification number?
The Dca Of Central Valdosta Llc has been assigned the NPI (National Provider Identifier) Number 1982667408 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dca Of Central Valdosta Llc is located?
The Dca Of Central Valdosta Llc is situated at the following address: Po Box 19119, Jonesboro, AR, 724036601.
What is Dca Of Central Valdosta Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dca Of Central Valdosta Llc's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
On what date did Dca Of Central Valdosta Llc receive its 1982667408 assignment from the Centers for Medicare & Medicaid Services?
The Dca Of Central Valdosta Llc was assigned its 1982667408 on 2006-04-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Dca Of Central Valdosta Llc's information last updated?
The Dca Of Central Valdosta Llc's information was last updated on 2018-06-21.