Physicians Choice Dialysis of Alexander City, LLC

Primary specialty

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

License

12110 Issued in AL

Legal business name

PHYSICIANS CHOICE DIALYSIS OF ALEXANDER CITY, LLC

Practice address

3316 Highway 280 Bypass
Suite G1
Alexander City, AL 35010-3369

Phone

(256) 329-0638

Fax

(256) 329-8934

NPI assigned

Jul 7, 2006

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda B. Palumbo

Title

Director of Contracts/HR

Phone

(610) 495-8900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PCD Alexander City Other name

Member of 1

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

• Russell Hospital Corporation

  • Rural Health Clinic/Center
  • New Site, AL
  • NPI 1700419868

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1861425621",
    "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": "3316 HIGHWAY 280 BYPASS",
            "address_2": "SUITE G1",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103369",
            "telephone_number": "256-329-0638",
            "fax_number": "256-329-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CHOICE DIALYSIS OF ALEXANDER CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTS/HR",
        "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": "12110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ALABAMA",
            "identifier": "012-502",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DIA2617D",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCD Alexander City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul's Drug Center Inc.
• Jamie Howard Peavy, CRNP
• Pediatric Associates of Alexander City PC
• Phyllis A Pemberton, CRNA
• Victor M Peterson, RPT
• Wesley Pinto, MMS, PA
• James Howard Poole, O.D.
• Pricare Advantage LLC
• Pricare, PA
• Joni Price

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alexander City, AL
• Providers in Alexander City, 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, 2007; 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.