UNION COUNTY DIALYSIS LLC NPI 1801886759

NPI Information

NPI: 1801886759
Provider Name: UNION COUNTY DIALYSIS, LLC

Doing Business As: UNION COUNTY DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
72 APPALACHIN AVE
BLAIRSVILLE, GA
ZIP 30512
Phone: (706) 835-1925
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UNION COUNTY DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Blairsville, GA. UNION COUNTY DIALYSIS, LLC NPI is 1801886759. The provider is registered as an organization entity type.
The provider Is Doing Business As Union County Dialysis Center.

The provider's business location address is:

72 APPALACHIN AVE
BLAIRSVILLE, GA
ZIP 30512
Phone: (706) 835-1925
Fax: (706) 835-1724

The provider's authorized official is Nicholas Colby Townsend .
The authorized official title is Financial Manager and has the following contact phone number (706) 745-2111.

The CLIA number assigned to this NPI record is 11D0969344 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 7/11/2016.

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	ESRD001173	GEORGIA	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	112680	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE OF GEORGIA
2	F55780	MEDICARE UPIN	GEORGIA
3	1102680	MEDICAID	NORTH CAROLINA
4	000876048B	MEDICAID	GEORGIA
5	0112680	MEDICAID	TENNESSEE

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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