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NPI Code Detail

MEDICARE: BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.

MEDICARE: BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1780796508
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
Provider Business Mailing Address
First Line : 3604 BUSH ST
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7511
Country : US
Telephone Number : 919-876-7501
Fax Number : 919-875-1594
Provider Business Practice Location Address
First Line : 3604 BUSH ST
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7511
Country : US
Telephone Number : 919-876-7501
Fax Number : 919-875-1594
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/13/2023

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