Renal Treatment Centers - Southeast, Lp in Fort Walton Beach - End-stage Renal Disease (esrd) Treatment
Renal Treatment Centers - Southeast, Lp - NPI 1255397170
Renal Treatment Centers - Southeast, Lp is a End-stage Renal Disease (esrd) Treatment in Fort Walton Beach, Florida. Renal Treatment Centers - Southeast, Lp practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Treatment Centers - Southeast, Lp is 1255397170. The last update date is 2007-07-12.
Renal Treatment Centers - Southeast, Lp's current location address is 1110 Hospital Rd, Fort Walton Beach, Florida. You can contact this provider via phone number 8508626989 and fax number 8508620014. The mailing address for Renal Treatment Centers - Southeast, Lp is 1110 Hospital Rd, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renal Treatment Centers - Southeast, Lp |
|---|---|
| Address | 1110 Hospital Rd, Fort Walton Beach, Florida |
| Phone Number | 8508626989 |
| Fax Number | 8508620014 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GROUP VICE |
|---|---|
| Authorized Official Name | Usilton O. Thomas |
| Telephone Number | 7705417922 |
NPI Number Detail
| NPI Number | 1255397170 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 1110 Hospital Rd |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325476644 |
| Phone Number | 8508626989 |
| Fax Number | 8508620014 |
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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Post Comment/ Review Below
What is the unique identifier code issued to Renal Treatment Centers - Southeast, Lp by the Centers for Medicare & Medicaid Services (CMS)?
The Renal Treatment Centers - Southeast, Lp has been assigned the NPI (National Provider Identifier) 1255397170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Renal Treatment Centers - Southeast, Lp is physically located?
The Renal Treatment Centers - Southeast, Lp is situated at the following address: 1110 Hospital Rd, Fort Walton Beach, FL 325476644.
What is Renal Treatment Centers - Southeast, Lp's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Renal Treatment Centers - Southeast, Lp is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Renal Treatment Centers - Southeast, Lp receive its 1255397170 assignment from the Centers for Medicare & Medicaid Services?
The Renal Treatment Centers - Southeast, Lp was assigned its 1255397170 by the Centers for Medicare & Medicaid Services on 2006-04-21.
When was the information regarding Renal Treatment Centers - Southeast, Lp most recently updated?
The details pertaining to the Renal Treatment Centers - Southeast, Lp, including its address, specialty, and other relevant information, were last refreshed on 2007-07-12.