| Name: | Physicians Choice Dialysis of Oxford, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 17 Mar 2006 (19 years ago) (Companies founded in March 2006) |
| Entity Number: | 000-610-195 |
| Register Number: | 000610195 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 211 COMMERCE COURT STE 104POTTSTOWN, PA 19464 |
| Registered Office Street Address: | 150 SOUTH PERRY STREETMONTGOMERY, AL 36104 |
Activities
DIALYSIS CENTER
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467679480 | 2007-04-19 | 2009-10-02 | 211 COMMERCE CT, SUITE 104, POTTSTOWN, PA, 194643483, US | 711 SNOW STREET, OXFORD, AL, 36203, US | |||||||||||||||||||||||||||
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| Phone | +1 610-495-8900 |
| Fax | 6104958560 |
Authorized person
| Name | RHONDA B PALUMBO |
| Role | DIRECTOR OF CONTRACTS |
| Phone | 6104958900 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS ALABAMA |
| Number | 014-216 |
| State | AL |
| Issuer | MEDICAID |
| Number | DIA2621D |
| State | AL |
| Name | Role |
|---|---|
| CSC LAWYERS INCORPORATING SRVC INC | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
