BIO-MEDICAL APPLICATIONS OF GEORGIA INC. NPI 1699724922

NPI Information

NPI: 1699724922
Provider Name: BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

Doing Business As: FMCNA VILLA RICA

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
130 PROSPECTER DR
VILLA RICA, GA
ZIP 30180
Phone: (770) 459-7135
Get Directions

BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. is an end-stage renal disease (esrd) treatment clinic center in Villa Rica, GA. BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. NPI is 1699724922. The provider is registered as an organization entity type.
The provider Is Doing Business As Fmcna Villa Rica.

The provider's business location address is:

130 PROSPECTER DR
VILLA RICA, GA
ZIP 30180-098
Phone: (770) 459-7135
Fax: (770) 459-9954

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 CLIA number assigned to this NPI record is 11D1054047 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 10/14/2023.

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			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	000733037L	MEDICAID	GEORGIA

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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