RRC BESSEMER HOME (RELIANT RENAL CARE BESSEMER HOME CHOICE LLC) NPI 1437586641

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) in Bessemer, AL

NPI 1437586641 Organization Clinic/Center End-Stage Renal Disease (ESRD) Treatment

About RRC BESSEMER HOME (RELIANT RENAL CARE BESSEMER HOME CHOICE LLC)

Rrc Bessemer Home (reliant Renal Care Bessemer Home Choice Llc) is a provider established in Bessemer, Alabama specializing in clinic/center (end-stage renal disease (esrd) treatment) . The NPI number of Rrc Bessemer Home (reliant Renal Care Bessemer Home Choice Llc) is 1437586641 and was assigned on October 2013. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Rrc Bessemer Home. The authorized official of this NPI record is Nola Mc Mullen (Coo)

NPI

1437586641

Provider NameRRC BESSEMER HOME (RELIANT RENAL CARE BESSEMER HOME CHOICE LLC)
Provider Location Address650 9TH AVE N. BESSEMER, AL 35020
Provider Mailing Address1400 N PROVIDENCE RD BLD II SUITE 1040 MEDIA, PA 19063
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameRRC BESSEMER HOME
Other Name TypeDoing Business As (3)
Enumeration Date10-02-2013
Last Update Date05-17-2016


Primary Taxonomy

Taxonomy Code261QE0700X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationEnd-Stage Renal Disease (ESRD) Treatment

Business Address

RRC BESSEMER HOME
650 9TH AVE N.
BESSEMER, AL
ZIP 35020
Phone: (610) 892-4700
Fax: (610) 892-9760

Get Directions


Mailing Address

RRC BESSEMER HOME
1400 N PROVIDENCE RD
BLD II SUITE 1040
MEDIA, PA
ZIP 19063
Phone: (610) 892-4700
Fax: (610) 892-9760



Authorized Official

Authorized Official Name NOLA MC MULLEN
Authorized Official TitleCOO
Authorized Official Phone(307) 287-7640

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
01-2683MEDICARE PIN (08)AL

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.