EAST TENNESSEE DIALYSIS CENTER INC
NPI 1467581744
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Maryville, TN
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About EAST TENNESSEE DIALYSIS CENTER INC
This page provides the complete NPI Profile along with additional information for East Tennessee Dialysis Center Inc, a provider established in Maryville, Tennessee operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1467581744 assigned on March 2007. The practitioner's primary taxonomy code is 261QE0700X with license number 0000000124 (TN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Moeen A Hatab Phd (Administrator)
- NPI
- 1467581744 Verify this NPI
- Provider Name
- EAST TENNESSEE DIALYSIS CENTER INC
- Entity Type
- Organization
- Location Address
- 1629 E BROADWAY AVE MARYVILLE, TN 37804
- Location Phone
- (865) 681-2900
- Location Fax
- (865) 980-0907
- Mailing Address
- PO BOX 32094 KNOXVILLE, TN 37930
- Mailing Phone
- (865) 681-2900
- Mailing Fax
- (865) 980-0907
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-05-2007
- Last Update Date
- 01-19-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- 0000000124
- License State
- TN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 442636 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 0442636 | MEDICAID (05) | TN |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467581744, enumerated as an "organization" on March 05, 2007.
The provider is located at 1629 E BROADWAY AVE MARYVILLE, TN 37804 and the phone number is (865) 681-2900.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
