Active NPI
Physicians Choice Dialysis of Lee County LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Phenix City, AL
National Provider Identifier
1699058552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- PHYSICIANS CHOICE DIALYSIS OF LEE COUNTY LLC
- Practice address
- 5009 River Chase Drive
Building 300
Phenix City, AL 36867-7484 - Phone
- (610) 495-8900
- Fax
- (610) 495-8560
- NPI assigned
- Sep 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Smith
- Title
- Director of Legal
- Phone
- (610) 495-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | AL | Primary |
Addresses
Primary practice location
5009 River Chase Drive
Building 300
Phenix City, AL 36867-7484
Mailing address
211 Commerce CT
Suite 104
Pottstown, PA 19464-3483
Phone (610) 495-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138523 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
211 Commerce Ct
Ste 104
Pottstown, PA 19464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423180800000",
"number": "1699058552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 COMMERCE CT",
"address_2": "SUITE 104",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643483",
"telephone_number": "610-495-8900",
"fax_number": "610-495-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 RIVER CHASE DRIVE",
"address_2": "BUILDING 300",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677484",
"telephone_number": "610-495-8900",
"fax_number": "610-495-8560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS CHOICE DIALYSIS OF LEE COUNTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-27",
"last_updated": "2015-02-06",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "DIRECTOR OF LEGAL",
"authorized_official_telephone_number": "610-495-8900",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138523",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.