Organization Active NPI

Bio-Medical Applications of South Carolina, Inc.

Doing business as Columbia Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Columbia, SC
National Provider Identifier
1700803442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
ERD046 Issued in SC
Legal business name
BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.
Doing business as
Columbia Dialysis Center
Practice address
2125 Adams GRV
Columbia, SC 29203-7102
Phone
(803) 779-7511
Fax
(803) 733-1771
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Fawcett
Title
Treasurer
Phone
(800) 662-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X ERD046 SC Primary

Addresses

Primary practice location

2125 Adams GRV
Columbia, SC 29203-7102

Mailing address

2125 Adams GRV
Columbia, SC 29203-7102
Phone (803) 779-7511

Other identifiers 1

IdentifierTypeStateIssuer
425043MedicaidSC

Other names 1

  • Columbia Dialysis Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2125 Adams Grv
Columbia, SC 29203
Phone (803) 779-7511

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700803442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ADAMS GRV",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037102",
            "telephone_number": "803-779-7511",
            "fax_number": "803-733-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ADAMS GRV",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037102",
            "telephone_number": "803-779-7511",
            "fax_number": "803-733-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "800-662-1237"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "SC",
            "license": "ERD046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425043",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.