Premier Dialysis Of West County, Inc in Edwardsville - End-stage Renal Disease (esrd) Treatment
Premier Dialysis Of West County, Inc - NPI 1841317377
Premier Dialysis Of West County, Inc is a End-stage Renal Disease (esrd) Treatment in Edwardsville, Illinois. Premier Dialysis Of West County, Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Premier Dialysis Of West County, Inc is 1841317377. The last update date is 2008-12-10.
Premier Dialysis Of West County, Inc's current location address is 132 Fox Hill Ct, Edwardsville, Illinois. You can contact this provider via phone number 6186550422 and fax number 6186550423. The mailing address for Premier Dialysis Of West County, Inc is 132 Fox Hill Ct, Edwardsville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier Dialysis Of West County, Inc |
|---|---|
| Address | 132 Fox Hill Ct, Edwardsville, Illinois |
| Phone Number | 6186550422 |
| Fax Number | 6186550423 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goldammer Harold |
| Telephone Number | 6184072153 |
NPI Number Detail
| NPI Number | 1841317377 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2008-12-10 |
Provider Mailing Address Detail
| Address | 132 Fox Hill Ct |
|---|---|
| City | Edwardsville |
| State | Illinois (IL) |
| Post Code | 620255736 |
| Phone Number | 6186550422 |
| Fax Number | 6186550423 |
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 |
|---|---|---|---|
| 507429801 | MO | -- | |
| 219086 | MO | ANTHEM BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Premier Dialysis Of West County, Inc by the Centers for Medicare & Medicaid Services?
The Premier Dialysis Of West County, Inc has been assigned the NPI (National Provider Identifier) 1841317377. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Premier Dialysis Of West County, Inc is geographically located?
The Premier Dialysis Of West County, Inc is physically situated at the following location: 132 Fox Hill Ct, Edwardsville, IL, 620255736.
What is Premier Dialysis Of West County, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Premier Dialysis Of West County, Inc is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841317377 to Premier Dialysis Of West County, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1841317377 to Premier Dialysis Of West County, Inc on 2007-03-22.
When was the information related to Premier Dialysis Of West County, Inc most recently updated or refreshed?
The details pertaining to the Premier Dialysis Of West County, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-12-10.
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