Ross Clark Circle Dialysis Llc in Brentwood - End-stage Renal Disease (esrd) Treatment
Ross Clark Circle Dialysis Llc - NPI 1003070285
Ross Clark Circle Dialysis Llc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. Ross Clark Circle Dialysis Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Ross Clark Circle Dialysis Llc is 1003070285. The last update date is 2021-05-18.
Ross Clark Circle Dialysis Llc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6153204268 and fax number 8772380567. The mailing address for Ross Clark Circle Dialysis Llc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ross Clark Circle Dialysis Llc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6153204268 |
| Fax Number | 8772380567 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel D John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1003070285 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2021-05-18 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6153204268 |
| Fax Number | 8772380567 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | S3503 |
|
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 |
|---|---|---|---|
| 8910100 | FL | -- | |
| 067833571A | GA | -- | |
| 1003070285 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ross Clark Circle Dialysis Llc by the Centers for Medicare & Medicaid Services?
The Ross Clark Circle Dialysis Llc has been issued the NPI (National Provider Identifier) 1003070285 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ross Clark Circle Dialysis Llc is geographically located?
The Ross Clark Circle Dialysis Llc is physically situated at the following location: 5200 Virginia Way, Brentwood, TN, 370277569.
What is the Ross Clark Circle Dialysis Llc's specialty and taxonomy code?
The Ross Clark Circle Dialysis Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003070285 to Ross Clark Circle Dialysis Llc?
The Centers for Medicare & Medicaid Services originally issued the 1003070285 to Ross Clark Circle Dialysis Llc on 2008-07-16.
As of what date was the information regarding Ross Clark Circle Dialysis Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ross Clark Circle Dialysis Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-18.