PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC – NPI #1639776222
Technician, Other

PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC is a technician located in DEL CITY, OK. NPPES has assigned the NPI number 1639776222 to PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC on October 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2472R0900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Other, specializing in Renal Dialysis

The NPI profile was previously updated about 5 years ago on Jan 05, 2021. 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 MIDWEST CITY LLC below.

NPI Profile for
PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC

NPI Number
1639776222
Enumeration Date

(more than 5 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 MIDWEST CITY LLC
Primary location
3200 SE 29TH STREET
DEL CITY, OK 73115
Phone: (610) 495-8900 Fax:
Mailing address
211 COMMERCE CT STE 104
POTTSTOWN, PA 19464-3483
Phone: (302) 290-7408 Fax: (610) 495-8652
Organization Subpart
No
Authorized Official
KELLY SMITH
DIRECTOR, CONTRACTS
Phone: (302) 290-7408
Updated
Certification Date
Jan 05, 2021

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.

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
2472R0900X
- Technician, Other / Renal Dialysis (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.