NPI: 1821185166 · PHILADELPHIA, PA 19115 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 10/06/2006
| Authorized Official | BAMGBOSE, JENNIFER (BILLING SUPERVISOR) |
| NPI Enumeration Date | 10/06/2006 |
Other providers sharing the same authorized official: BAMGBOSE, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| BELMONT COURT DIALYSIS CENTER INC | DOYLESTOWN | PA | $58K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,017 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1,017 | 71 | $19K |