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SOUTHERN OCEAN COUNTY DIALYSIS CLINIC LLC NPI 1306940184


NPI Information

NPI: 1306940184
Provider Name: SOUTHERN OCEAN COUNTY DIALYSIS CLINIC, LLC

Doing Business As: SOUTHERN OCEAN COUNTY DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1301 ROUTE 72 W STE 110
MANAHAWKIN, NJ
ZIP 08050
Phone: (609) 597-1039
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SOUTHERN OCEAN COUNTY DIALYSIS CLINIC, LLC is an end-stage renal disease (esrd) treatment clinic center in Manahawkin, NJ. SOUTHERN OCEAN COUNTY DIALYSIS CLINIC, LLC NPI is 1306940184. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Ocean County Dialysis Center.

The provider's business location address is:

1301 ROUTE 72 W STE 110
MANAHAWKIN, NJ
ZIP 08050-483
Phone: (609) 597-1039
Fax: (609) 597-4925

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 10/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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