Shoals Kidney & Htn Center

LBN: N Rao Boorgu Md Pc
Shoals Kidney & Htn Center is an health care organization with primary practice located at 422 E Dr Hicks Blvd , Florence AL 35630-5763. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. N Rao Boorgu Md Pc can be contacted via phone (256) 766-1401, or through Boorgu, Narasimha Rao via phone (256) 766-1401.

Contact Information

Primary practice address
422 E Dr Hicks Blvd Florence AL 35630-5763
Phone: (256) 766-1401
Fax: (256) 766-1402
Website:
Map and Directions
Authorized official contact:
Name: Boorgu, Narasimha Rao Doctor of Medicine (MD)
Phone: (256) 766-1401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 20061173 Alabama
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 20061174 Alabama
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 20061172 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Alabama
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X

Profile Details

NPI number 1780641951
LBN Legal business name N Rao Boorgu Md Pc
DBA Doing business as Shoals Kidney & Htn Center
Authorized official Boorgu, Narasimha Rao Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2006
Last updated May 29th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780641951 NPPES
South Carolina Other 110131573 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 000060570 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 0118607 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 102I500688 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina Other CC6102 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 000026605 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 529400760 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 000000582 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 0000500688 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 00012106 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 00122786 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 05930201 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 102I397202 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 000076742 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina Other 110208939 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina MEDICAID 000037272 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina Other 110126478 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
South Carolina Other 500011241 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL

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