Renalus Center For Kidney Care

LBN: Pensacola Nephrology Pa
Renalus Center For Kidney Care is an health care organization with primary practice located at 1619 Creighton Rd Ste 1 , Pensacola FL 32504-7152. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Pensacola Nephrology Pa can be contacted via phone (850) 444-4700, or through Ros, Shantelle S via phone (850) 444-4700.

Contact Information

Primary practice address
1619 Creighton Rd Ste 1 Pensacola FL 32504-7152
Fax: (850) 434-8144
Website:
Authorized official contact:
Name: Ros, Shantelle S

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1518969765
LBN Legal business name Pensacola Nephrology Pa
DBA Doing business as Renalus Center For Kidney Care
Authorized official Ros, Shantelle S
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 21st, 2022 - about 2 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 1518969765 NPPES
Florida Other CF9776 RRB PTAN
Florida MEDICAID 256870500 RRB PTAN
Florida MEDICAID 256870509 RRB PTAN
Florida MEDICAID 256870512 RRB PTAN
Florida MEDICAID 256870510 RRB PTAN
Florida MEDICAID 256870513 RRB PTAN
Florida Other CF9777 RRB PTAN

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