PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC (NPI# 1760446199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760446199 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC |
| Other Organization Name | PHYSICIANS CHOICE DIALYSIS - MONTGOMERY |
| Practice Address |
1001 Forest Avenue Montgomery AL 36106 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3342699416 |
| Practice Fax Number | 3342690024 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
S5103 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1760446199 | 05 |
| Other Name | Type Code |
|---|---|
| Physicians Choice Dialysis - Montgomery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063476489 | Physicians Choice Dialysis of Alabama LLC | Clinic/Center | 125 Hospital Drive, Wetumpka, AL 36092 | 2006-04-13 |
| 1902860331 | Physicians Choice Dialysis of Alabama LLC | Clinic/Center | 600 Mcqueen Smith Rd S, Prattville, AL 36066-5716 | 2006-04-13 |
| 1932163359 | Physicians Choice Dialysis of Alabama LLC | Clinic/Center | 6890 Winton Blount Blvd, Montgomery, AL 36117 | 2006-04-13 |
| Street Address |
1001 FOREST AVENUE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| 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 |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1902313430 | Sapphire Community Dialysis LLC | Clinic/Center | 8149 Decker Ln, Montgomery, AL 36117-4255 | 2018-01-05 |
| 1215451612 | Physicians Choice Dialysis of Montgomery LLC | Clinic/Center | 2201 E South Blvd, Montgomery, AL 36116-2404 | 2017-07-28 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| 1992047450 | Farragut Dialysis, LLC | Clinic/Center | 2958 Dorchester Dr, Montgomery, AL 36116-3193 | 2013-03-22 |
| 1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
| 1447531686 | Bio-medical Applications of Alabama Inc. | Clinic/Center | 100 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2011-09-01 |
| 1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
| 1780796532 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 255 S Jackson St, Montgomery, AL 36104-4405 | 2006-08-31 |
| 1457463168 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 3625 Mcgehee Place Dr N, Montgomery, AL 36111-3371 | 2006-08-31 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on PHYSICIANS CHOICE DIALYSIS OF ALABAMA 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.