FORREST CITY DIALYSIS – NPI #1811315823
Clinic/Center

FORREST CITY DIALYSIS is an AHC clinic located in BRENTWOOD, TN. NPPES has assigned the NPI number 1811315823 to FORREST CITY DIALYSIS on April 07, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. FORREST CITY DIALYSIS is also known by the name RENAL TREATMENT CTRS 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 8 years ago on Jun 15, 2018. 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 FORREST CITY DIALYSIS below.

NPI Profile for
FORREST CITY DIALYSIS

NPI Number
1811315823
Enumeration Date

(more than 12 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
FORREST CITY DIALYSIS
Other Name: RENAL TREATMENT CTRS SOUTHEAST LP
Primary location
5200 VIRGINIA WAY
L & C DEPARTMENT
BRENTWOOD, TN 37027
Phone: (615) 320-4236 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES HILGER
CAO
Phone: (303) 876-6000
Updated
Identifiers

Identifiers for FORREST CITY DIALYSIS

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
MEDICAIDAR180379134
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)		 AR 1457673345

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.