FORT WALTON BEACH DIALYSIS – NPI #1255397170
Clinic/Center
FORT WALTON BEACH DIALYSIS is an AHC clinic located in FORT WALTON BEACH, FL. NPPES has assigned the NPI number 1255397170 to FORT WALTON BEACH DIALYSIS on April 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FORT WALTON BEACH DIALYSIS” is a dba name, the actual legal business name for this organization is RENAL TREATMENT CENTERS - SOUTHEAST, LP. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was previously updated about 19 years ago on Jul 12, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORT WALTON BEACH DIALYSIS below.
NPI Profile for
RENAL TREATMENT CENTERS - SOUTHEAST, LP
(more than 20 years ago)
SUITE A
FORT WALTON BEACH, FL 32547-6644 Phone: (850) 862-6989 Fax: (850) 862-0014
STE. 400 L&C
BRENTWOOD, TN 37027-7569 Phone: (615) 320-4218 Fax: (303) 209-7825
GROUP VICE PRESIDENT
Phone: (770) 541-7922
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.