CAMELOT DIALYSIS – NPI #1710066428
Clinic/Center
CAMELOT DIALYSIS is an AHC clinic located in VIRGINIA BEACH, VA. NPPES has assigned the NPI number 1710066428 to CAMELOT DIALYSIS on November 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAMELOT DIALYSIS” is a dba name, the actual legal business name for this organization is DAVITA TIDEWATER - VIRGINIA BEACH, LLC. 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 Aug 22, 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 CAMELOT DIALYSIS below.
NPI Profile for
DAVITA TIDEWATER - VIRGINIA BEACH, LLC
(more than 19 years ago)
STE 100
VIRGINIA BEACH, VA 23454-2440 Phone: (757) 481-6879 Fax: (757) 496-0187
STE 400 L&C
BRENTWOOD, TN 37027-7569 Phone: (615) 320-4218 Fax: (303) 209-7825
SR 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.