CEDARTOWN DIALYSIS
NPI 1700855749
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cedartown, GA
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About CEDARTOWN DIALYSIS
This page provides the complete NPI Profile along with additional information for Cedartown Dialysis, a provider established in Cedartown, Georgia operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1700855749 assigned on March 2006. The practitioner's primary taxonomy code is 261QE0700X with license number ESRD001165 (GA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Cedartown Dialysis. The authorized official of this NPI record is Thomas O Usilton Jr. (Group Vice President)
- NPI
- 1700855749 Verify this NPI
- Provider Legal Name
- DVA RENAL HEALTHCARE INC
- Other Organization Name
- CEDARTOWN DIALYSIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 325 WEST AVE CEDARTOWN, GA 30125
- Location Phone
- (770) 748-1398
- Location Fax
- (770) 749-0755
- Mailing Address
- 5200 VIRGINIA WAY SUITE 400 L&C BRENTWOOD, TN 37027
- Mailing Phone
- (615) 320-4218
- Mailing Fax
- (303) 209-7825
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2006
- Last Update Date
- 07-10-2007
- 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.
- ESRD001165
- License State
- GA
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 |
|---|---|---|---|
| 112670 | MEDICARE OSCAR/CERTIFICATION (06) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700855749, enumerated as an "organization" on March 14, 2006.
The provider is located at 325 WEST AVE CEDARTOWN, GA 30125 and the phone number is (770) 748-1398.
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.
