Physicians Choice Dialysis Of Alabama LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Prattville, AL. Organization (NPI-2).
NPI number1902860331
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1902860331
- Entity type
- Organization (NPI-2)
- Legal business name
- Physicians Choice Dialysis Of Alabama LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2006
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | S0101 | AL | Yes |
Other names
- Physicians Choice Dialysis-Prattville (Doing Business As)
Practice location
600 McQueen Smith Rd SPrattville, AL 36066-5716
Phone 334-581-1576 · Fax 334-358-2139
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Phone 615-320-4268 · Fax 877-238-0567
Authorized official
John Winstel
Chief Accounting Officer
2537334501
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