Dca Of Warsaw Llc in Jonesboro - End-stage Renal Disease (esrd) Treatment
Dca Of Warsaw Llc - NPI 1124081963
Dca Of Warsaw Llc is a End-stage Renal Disease (esrd) Treatment in Jonesboro, Arkansas. Dca Of Warsaw Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dca Of Warsaw Llc is 1124081963. The last update date is 2013-10-25.
Dca Of Warsaw 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 Warsaw Llc is Po Box 19119, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dca Of Warsaw 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 | 1124081963 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2013-10-25 |
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 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136730 | VA | ANTHEM | |
| 136730 | VA | CAREFIRST | |
| 10054486 | VA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Dca Of Warsaw Llc by the Centers for Medicare & Medicaid Services?
The Dca Of Warsaw Llc has been issued the NPI (National Provider Identifier) 1124081963. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dca Of Warsaw Llc's facilities are situated?
The facilities of Dca Of Warsaw Llc are physically located at the following address: Po Box 19119, Jonesboro, AR, 724036601.
What is Dca Of Warsaw Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dca Of Warsaw Llc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date did Dca Of Warsaw Llc receive its 1124081963 assignment from the Centers for Medicare & Medicaid Services?
The Dca Of Warsaw Llc was assigned its 1124081963 on 2006-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dca Of Warsaw Llc most recently updated?
The details pertaining to the Dca Of Warsaw Llc, including its address, specialty, and other relevant information, were last refreshed on 2013-10-25.