Organization
DCA OF AIKEN, LLC
Active
Organization
DCA OF AIKEN, LLC
Active
Parent organization
DIALYSIS CORPORATION OF AMERICA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIALYSIS CORPORATION OF AMERICA, INC.
Authorized official
MR. STEPHEN EVERETT (CEO)
(410) 694-0500
Entity
Organization
Contact information
Practice address
113 GREGG AVE, AIKEN, SC 29801-2797
(803) 648-0255
(803) 648-0755
Mailing address
214 SENATE AVENUE, SUITE 300, CAMP HILL, PA 17011-2339
(717) 730-9701
(717) 730-6223
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422595
BLUE CROSS
SC
05
—
ERD138
—
SC
Enumeration date
04/07/2006
Last updated
06/21/2018
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