PHYSICIANS CHOICE DIALYSIS OF LEE COUNTY LLC (NPI# 1699058552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699058552 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CHOICE DIALYSIS OF LEE COUNTY LLC |
| Practice Address |
5009 River Chase Drive Building 300 Phenix City AL 36867-7484 |
| Mailing Address |
211 Commerce Ct Suite 104 Pottstown PA 19464-3483 |
| Practice Telephone | 6104958900 |
| Practice Fax Number | 6104958560 |
| Mailing Telephone | 6104958900 |
| Mailing Fax Number | 6104958560 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | MRS. KELLY SMITH (DIRECTOR OF LEGAL) |
| Authorized Official Telephone | 6104958900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 138523 | 05 |
| Street Address |
5009 RIVER CHASE DRIVE BUILDING 300 |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-7484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| Find all providers in zip 36867 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568983237 | Fresenius Kidney Care Phenix City, LLC | Clinic/Center | 5009 Riverchase Dr Ste 300, Phenix City, AL 36867-7484 | 2017-07-03 |
| 1366462772 | Dialysis Clinic Inc. | Clinic/Center | 1611 21st Court, Phenix City, AL 36867 | 2006-07-20 |
| 1003870445 | Renal Treatment Centers Southeast Lp | Clinic/Center | 4391 Riverchase Dr, Phenix City, AL 36867-7519 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059990 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 131 Cox Creek Pkwy S, Florence, AL 35630-3264 | 2020-09-28 |
| 1740893890 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 664 S University Blvd, Mobile, AL 36609-7866 | 2020-08-28 |
| 1245841550 | Arrowhead Dialysis LLC | Clinic/Center | 1850 Mcfarland Blvd N Ste B, Tuscaloosa, AL 35406-2138 | 2020-08-11 |
| 1861000804 | Fresenius Medical Care Mobile Area, LLC | Clinic/Center | 201 Saint Joseph St Ste B, Mobile, AL 36602-3932 | 2020-07-15 |
| 1538793773 | Isd Renal Inc | Clinic/Center | 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 | 2020-02-26 |
| 1659838266 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 40 Wasden Ln, Hope Hull, AL 36043-4310 | 2019-03-01 |
| 1467916502 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1850 Parkland Dr Ne, Cullman, AL 35058-6100 | 2019-01-23 |
| 1427533561 | Fresenius Medical Care Coosa River, LLC | Clinic/Center | 708 S 4th St, Gadsden, AL 35901-5221 | 2018-09-25 |
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1114434230 | Prattville Community Dialysis LLC | Clinic/Center | 1815 Glynwood Dr, Prattville, AL 36066-5584 | 2018-01-10 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
Please comment or provide details below to improve the information on PHYSICIANS CHOICE DIALYSIS OF LEE COUNTY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.