East Montgomery Community Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

EAST MONTGOMERY COMMUNITY DIALYSIS LLC

Practice address

6890 Winton Blount Blvd
Montgomery, AL 36117-3516

Phone

(610) 495-8900

NPI assigned

Jan 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Smith

Title

Director

Phone

(302) 290-7408

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1447768601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COMMERCE CT STE 104",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643483",
            "telephone_number": "610-495-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6890 WINTON BLOUNT BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173516",
            "telephone_number": "610-495-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MONTGOMERY COMMUNITY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-290-7408"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Early, PHARMD
• William Thomas Earnest, CRNP, PMHNP-BC
• Deidra Easley, PHARM.D.
• East Montgomery Cardiology PC
• East Montgomery Christian Family Medicine, LLC
• East Montgomery Optical Shoppe
• East Montgomery Pediatrics LLC
• East Montgomery Podiatry
• East Taylor Dental PC
• Easter Seals Central Alabama

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Montgomery, AL
• Providers in Montgomery, AL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.