Organization Name: | BIO-MEDICAL APPLICATIONS OF ALABAMA, INC. |
NPI Number: | 1427499573 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK R FAWCETT (TREASURER) |
Mailing Address: | 700 Sara G. Lott Boulevard Brundidge |
State: | AL US |
Postal Code: | 360101827 |
Phone Number: | 3347350396 |
Fax Number: | 3347350397 |
NPI Enumeration Date: | 07/17/2013 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |