Organization · Type 2 NPI

Physicians Choice Dialysis of Alabama LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Wetumpka, AL

NPI number 1063476489 Active

Practice location

125 Hospital Drive
Wetumpka, AL 36092-1626

Call (334) 514-2037 Map

Fax (334) 514-9568

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	S2601 (AL)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1063476489
Entity type: Organization (Type 2)
Issued: Apr 13, 2006
Last updated: Mar 1, 2023
Status: Active

Other names

<unavail>
Physicians Choice Dialysis - Elmore County · doing business as
Physicians Choice Dialysis - Elmore County · doing business as

Authorized official

John Winstel
Chief Accounting Officer, Treasurer
(253) 733-4501

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063476489

Physicians Choice Dialysis of Alabama LLC's National Provider Identifier is 1063476489, issued on Apr 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Wetumpka, AL. The record was last updated on Mar 1, 2023.