SOUTH BALDWIN DIALYSIS CENTER – NPI #1720043714
Clinic/Center

SOUTH BALDWIN DIALYSIS CENTER is an AHC clinic located in FOLEY, AL. NPPES has assigned the NPI number 1720043714 to SOUTH BALDWIN DIALYSIS CENTER on April 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH BALDWIN DIALYSIS CENTER” 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 3 years ago on Sep 12, 2023. 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 SOUTH BALDWIN DIALYSIS CENTER below.

NPI Profile for
RENAL TREATMENT CENTERS-SOUTHEAST, LP.

NPI Number
1720043714
Enumeration Date

(more than 20 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
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Doing Business As (dba): SOUTH BALDWIN DIALYSIS CENTER
Primary location
150 W PEACHTREE AVENUE
FOLEY, AL 36535
Phone: (251) 943-4155 Fax: (251) 970-1005
Mailing address
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4268 Fax: (877) 238-0567
Organization Subpart
No
Authorized Official
SAMUEL WEY
SR DIRECTOR, LICENSURE & CERTIFICAT
Phone: (615) 341-6641
Updated
Certification Date
Sep 12, 2023

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

Identifiers for SOUTH BALDWIN 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.

DescriptionIssuerStateIdentifier
medicaidALDIA2565D
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)
AL S0202

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.