West Pensacola Dialysis LLC

Primary specialty

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

Legal business name

WEST PENSACOLA DIALYSIS LLC

Practice address

598 N Fairfield Dr
Pensacola, FL 32506-4320

Phone

(852) 453-6066

Fax

(850) 453-6681

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Jim Hilger

Title

Vice President

Phone

(253) 382-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Pensacola Dialysis Center Doing business as

Member of 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1851415228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE 400 L&C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4521",
            "fax_number": "866-317-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N FAIRFIELD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064320",
            "telephone_number": "852-453-6066",
            "fax_number": "850-453-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PENSACOLA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "253-382-1919"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000094300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Pensacola Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Florida Regional Medical Center Inc
• West Florida Regional Medical Center, Inc.
• West Florida Regional Medical Center, Inc.
• West Florida Regional Medical Center, Inc.
• West Florida Specialty Physicians LLC
• Christine Talbert West, LPN
• James Wiley West, MD
• Jason West, HAS, NBC-HIS
• Jenny Amanda West, ARNP
• John F West, PHARMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.