Dca Of Mechanicsburg Llc in Jonesboro - End-stage Renal Disease (esrd) Treatment

Dca Of Mechanicsburg Llc - NPI 1083677587

Dca Of Mechanicsburg Llc is a End-stage Renal Disease (esrd) Treatment in Jonesboro, Arkansas. Dca Of Mechanicsburg Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dca Of Mechanicsburg Llc is 1083677587. The last update date is 2018-06-21.

Dca Of Mechanicsburg 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 Mechanicsburg Llc is Po Box 19119, Jonesboro, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dca Of Mechanicsburg 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 1083677587
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
PPA01604 PA PA CHRONIC RENAL
1888760 PA UNISON
18887600001 PA --
7278046 PA AETNA
2687877 PA AETNA
907109 PA TUFTS HEALTH PLAN
1522940 PA GATEWAY
1852 PA PA HIGHMARK
20012167 PA AMERIHEALTH MERCY
7287332 PA AETNA US HEALTHCARE

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FAQs about Dca Of Mechanicsburg Llc

What is the unique 10-digit identifier code issued to Dca Of Mechanicsburg Llc by the Centers for Medicare & Medicaid Services?

The Dca Of Mechanicsburg Llc has been assigned the NPI (National Provider Identifier) 1083677587 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Dca Of Mechanicsburg Llc?

The Dca Of Mechanicsburg Llc is situated at Po Box 19119, in the city of Jonesboro, state of AR, with the zip code 724036601.

What is Dca Of Mechanicsburg Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Dca Of Mechanicsburg Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.

When was the Dca Of Mechanicsburg Llc's 1083677587 issued?

The Dca Of Mechanicsburg Llc's 1083677587 was issued on 2006-04-07.

As of what date was the information pertaining to Dca Of Mechanicsburg Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dca Of Mechanicsburg Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-06-21.

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