Provider Demographics
NPI:1407968266
Name:BIO-MEDICAL APPLICATIONS OF ALABAMA INC
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF ALABAMA INC
Other - Org Name:FMC PORT CITY DIALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIVITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:201 SAINT JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36602-3931
Mailing Address - Country:US
Mailing Address - Phone:251-652-1025
Mailing Address - Fax:251-652-1031
Practice Address - Street 1:201 SAINT JOSEPH ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602-3931
Practice Address - Country:US
Practice Address - Phone:251-652-1025
Practice Address - Fax:251-652-1031
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
012599Medicare Oscar/Certification