PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC – NPI #1386829489
Clinic/Center

PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC is an AHC clinic located in JACKSONVILLE, AL. NPPES has assigned the NPI number 1386829489 to PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC on January 08, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 17 years ago on Oct 02, 2009. 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 PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC below.

NPI Profile for
PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC

NPI Number
1386829489
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC
Primary location
331 HENRY ROAD SW
JACKSONVILLE, AL 36265
Phone: (610) 495-8900 Fax: (610) 495-8560
Mailing address
211 COMMERCE CT
SUITE 104
POTTSTOWN, PA 19464-3483
Phone: (610) 495-8900 Fax: (610) 495-8560
Organization Subpart
No
Authorized Official
RHONDA PALUMBO
DIRECTOR OF CONTRACTS/HR
Phone: (610) 495-8900
Updated
Identifiers

Identifiers for PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDALDIA2625D
Taxonomy Code(s)

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.