Nra-Hollywood, South Carolina, Llc in Ravenel - End-stage Renal Disease (esrd) Treatment
Nra-Hollywood, South Carolina, Llc - NPI 1356384069
Nra-Hollywood, South Carolina, Llc is a End-stage Renal Disease (esrd) Treatment in Ravenel, South Carolina. Nra-Hollywood, South Carolina, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Nra-Hollywood, South Carolina, Llc is 1356384069. The last update date is 2023-10-17.
Nra-Hollywood, South Carolina, Llc's current location address is 5953 Jacobs Point Blvd, Ravenel, South Carolina. You can contact this provider via phone number 8435714025 and fax number 8435714015. The mailing address for Nra-Hollywood, South Carolina, Llc is 5953 Jacobs Point Blvd, Ravenel, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nra-Hollywood, South Carolina, Llc |
|---|---|
| Address | 5953 Jacobs Point Blvd, Ravenel, South Carolina |
| Phone Number | 8435714025 |
| Fax Number | 8435714015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1356384069 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
| Address | 5953 Jacobs Point Blvd |
|---|---|
| City | Ravenel |
| State | South Carolina (SC) |
| Post Code | 294705643 |
| Phone Number | 8435714025 |
| Fax Number | 8435714015 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ERD-157 |
|
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 |
|---|---|---|---|
| ERD-157 | SC | -- | |
| 42D1052012 | SC | CLIA CERTIFICATE OF WAIVE |
Post Comment/ Review Below
What is the unique identifier code issued to Nra-Hollywood, South Carolina, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Nra-Hollywood, South Carolina, Llc has been assigned the NPI (National Provider Identifier) 1356384069. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Nra-Hollywood, South Carolina, Llc?
The Nra-Hollywood, South Carolina, Llc is situated at 5953 Jacobs Point Blvd, in the city of Ravenel, state of SC, with the zip code 294705643.
What is Nra-Hollywood, South Carolina, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nra-Hollywood, South Carolina, Llc's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
On what date did the Nra-Hollywood, South Carolina, Llc receive the assignment of its 1356384069 from the Centers for Medicare & Medicaid Services?
The Nra-Hollywood, South Carolina, Llc was issued its 1356384069 by the Centers for Medicare & Medicaid Services on 2006-06-13.
As of what date were the Nra-Hollywood, South Carolina, Llc's details last updated?
The information pertaining to the Nra-Hollywood, South Carolina, Llc, including its address, specialty, and other details, was most recently updated on 2023-10-17.