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1851415228 NPI number — WEST PENSACOLA DIALYSIS LLC

NPI Number: 1851415228
Health Care Provider/Practitioner: WEST PENSACOLA DIALYSIS LLC

Information about “1851415228” NPI (WEST PENSACOLA DIALYSIS LLC) exists in 1851415228 in HTML format HTML  |  1851415228 in plain Text format TXT  |  1851415228 in PDF (Portable Document Format) PDF  |  1851415228 in an XML format XML  formats.

NPI Number : 1851415228 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851415228",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WEST PENSACOLA DIALYSIS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5200 VIRGINIA WAY",
    "SecondLineMailingAddress": "STE 400 L&C",
    "MailingAddressCityName": "BRENTWOOD",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37027-7569",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-320-4521",
    "MailingAddressFaxNumber": "866-317-5894",
    "FirstLinePracticeLocationAddress": "598 N FAIRFIELD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32506-4320",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "852-453-6066",
    "PracticeLocationAddressFaxNumber": "850-453-6681",
    "EnumerationDate": "03/19/2007",
    "LastUpdateDate": "11/12/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HILGER",
    "AuthorizedOfficialFirstName": "JIM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "253-382-1919",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QE0700X",
        "TaxonomyName": "End-Stage Renal Disease (ESRD) Treatment Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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