MOULTRIE DIALYSIS CENTER – NPI #1508825704
Clinic/Center
MOULTRIE DIALYSIS CENTER is an AHC clinic located in MOULTRIE, GA. NPPES has assigned the NPI number 1508825704 to MOULTRIE DIALYSIS CENTER on March 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOULTRIE DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is RENAL TREATMENT CENTERS MID ATLANTIC INC. 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 6 years ago on Apr 20, 2020. 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 MOULTRIE DIALYSIS CENTER below.
NPI Profile for
RENAL TREATMENT CENTERS MID ATLANTIC INC
(more than 20 years ago)
MOULTRIE, GA 31768 Phone: (229) 890-1221 Fax: (229) 890-1226
L&C DEPT
BRENTWOOD, TN 37027-7569 Phone: (615) 320-4268 Fax: (877) 238-0567
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MOULTRIE DIALYSIS CENTER
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | GA | 000708419A |
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) |
GA | ESRD001016 |
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.