RENAL TREATMENT CENTERS-SOUTHEAST LP. NPI 1225338064

NPI Information

NPI: 1225338064
Provider Name: RENAL TREATMENT CENTERS-SOUTHEAST, LP.

Doing Business As: JEWEL DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 01D2026967

Address:
514 W TOWN PLZ
BESSEMER, AL
ZIP 35020
Phone: (205) 481-4386
Get Directions

RENAL TREATMENT CENTERS-SOUTHEAST, LP. is an end-stage renal disease (esrd) treatment clinic center in Bessemer, AL. RENAL TREATMENT CENTERS-SOUTHEAST, LP. NPI is 1225338064. The provider is registered as an organization entity type.
The provider Is Doing Business As Jewel Dialysis.

The provider's business location address is:

514 W TOWN PLZ
BESSEMER, AL
ZIP 35020-346
Phone: (205) 481-4386
Fax: (205) 481-1612

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 01D2026967 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2010 and was last updated on 10/18/2023.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	S3726	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	134491	MEDICAID	ALABAMA

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

NPI Synchronization or Removal

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