Long Beach Dialysis Center Llc in Brentwood - End-stage Renal Disease (esrd) Treatment
Long Beach Dialysis Center Llc - NPI 1003024647
Long Beach Dialysis Center Llc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. Long Beach Dialysis Center Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Long Beach Dialysis Center Llc is 1003024647. The last update date is 2023-08-17.
Long Beach Dialysis Center Llc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6152383085 and fax number 8002689682. The mailing address for Long Beach Dialysis Center Llc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Long Beach Dialysis Center Llc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6152383085 |
| Fax Number | 8002689682 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Wey Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1003024647 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2023-08-17 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6152383085 |
| Fax Number | 8002689682 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 550000754 |
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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 |
|---|---|---|---|
| 1003024647 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Long Beach Dialysis Center Llc by the Centers for Medicare & Medicaid Services?
The Long Beach Dialysis Center Llc has been issued the NPI (National Provider Identifier) 1003024647. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Long Beach Dialysis Center Llc is physically located?
The Long Beach Dialysis Center Llc is physically situated at the following address: 5200 Virginia Way, Brentwood, TN, 370277569.
What is Long Beach Dialysis Center Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Long Beach Dialysis Center Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
When did Long Beach Dialysis Center Llc receive its 1003024647 assignment?
The Long Beach Dialysis Center Llc was assigned its 1003024647 on 2007-05-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Long Beach Dialysis Center Llc most recently updated or revised?
The information pertaining to Long Beach Dialysis Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-17.