North East Kidney Center LLC

Primary specialty

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

Legal business name

NORTH EAST KIDNEY CENTER LLC

Practice address

7499 Parklane Rd
Suite 136
Columbia, SC 29223-7650

Phone

(803) 741-9912

Fax

(803) 741-9528

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Christopher T Ford

Title

Chairman

Phone

(978) 922-3080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1487965869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CHERRY HILL DR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151054",
            "telephone_number": "978-922-3080",
            "fax_number": "978-922-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7499 PARKLANE RD",
            "address_2": "SUITE 136",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237650",
            "telephone_number": "803-741-9912",
            "fax_number": "803-741-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "978-922-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Leann Norris, PHARM D
• Elizabeth Norris
• Lakeisha Norris, LPC
• William Bryan Norris, PHARM.D.
• North Columbia Health, LLC
• North Main Kidney Center LLC
• North Springs Dentistry
• Shambricka North, LMSW
• Northeast Behavioral Healthcare Inc
• Northeast Childrens Dentistry

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.