Jedburg Dialysis Llc in Summerville - End-stage Renal Disease (esrd) Treatment
Jedburg Dialysis Llc - NPI 1578740387
Jedburg Dialysis Llc is a End-stage Renal Disease (esrd) Treatment in Summerville, South Carolina. Jedburg Dialysis Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Jedburg Dialysis Llc is 1578740387. The last update date is 2015-09-30.
Jedburg Dialysis Llc's current location address is 2897 W 5th North St, Summerville, South Carolina. You can contact this provider via phone number 8438733955 and fax number 8438730266. The mailing address for Jedburg Dialysis Llc is 2897 W 5th North St, Summerville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jedburg Dialysis Llc |
|---|---|
| Address | 2897 W 5th North St, Summerville, South Carolina |
| Phone Number | 8438733955 |
| Fax Number | 8438730266 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHEIF ACCO |
|---|---|
| Authorized Official Name | Hilger K James |
| Telephone Number | 2537334500 |
NPI Number Detail
| NPI Number | 1578740387 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2015-09-30 |
Provider Mailing Address Detail
| Address | 2897 W 5th North St |
|---|---|
| City | Summerville |
| State | South Carolina (SC) |
| Post Code | 294839674 |
| Phone Number | 8438733955 |
| Fax Number | 8438730266 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ERD-0183 |
|
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 |
|---|---|---|---|
| ERD183 | SC | -- |
Post Comment/ Review Below
What is the Jedburg Dialysis Llc's unique identification number?
The Jedburg Dialysis Llc has been assigned the NPI (National Provider Identifier) Number 1578740387 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jedburg Dialysis Llc's facilities are geographically located?
The facilities of Jedburg Dialysis Llc are physically situated at the following location: 2897 W 5Th North St, Summerville, SC, 294839674.
What is the Jedburg Dialysis Llc's specialty and taxonomy code?
The Jedburg Dialysis Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did Jedburg Dialysis Llc receive its 1578740387 assignment from the Centers for Medicare & Medicaid Services?
The Jedburg Dialysis Llc was assigned its 1578740387 on 2008-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jedburg Dialysis Llc's details last updated?
The information pertaining to the Jedburg Dialysis Llc, including its address, specialty, and other details, was most recently updated on 2015-09-30.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC