Dca Of Edgefield Llc in Jonesboro - End-stage Renal Disease (esrd) Treatment
Dca Of Edgefield Llc - NPI 1013966480
Dca Of Edgefield Llc is a End-stage Renal Disease (esrd) Treatment in Jonesboro, Arkansas. Dca Of Edgefield Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dca Of Edgefield Llc is 1013966480. The last update date is 2018-06-21.
Dca Of Edgefield 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 Edgefield Llc is Po Box 19119, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dca Of Edgefield 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 | 1013966480 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| 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 |
|---|---|---|---|
| ERD149 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dca Of Edgefield Llc by the Centers for Medicare & Medicaid Services?
The Dca Of Edgefield Llc has been assigned the NPI (National Provider Identifier) 1013966480 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Dca Of Edgefield Llc is located?
The Dca Of Edgefield Llc is situated at the following address: Po Box 19119, Jonesboro, AR, 724036601.
What is the Dca Of Edgefield Llc's specialty and taxonomy code?
The Dca Of Edgefield Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013966480 to Dca Of Edgefield Llc?
The Centers for Medicare & Medicaid Services assigned the 1013966480 to Dca Of Edgefield Llc on 2006-05-10.
As of what date were the details pertaining to Dca Of Edgefield Llc last refreshed?
The information related to the Dca Of Edgefield Llc, including its address, specialty, and other relevant details, was last updated on 2018-06-21.