Organization
BELMONT COURT DIALYSIS CENTER INC
Active
Organization
BELMONT COURT DIALYSIS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L BAMGBOSE (BILLING SUPERVISOR)
(610) 630-1515
Entity
Organization
Contact information
Practice address
2 HAMILTON HEALTH PL, HAMILTON, NJ 08690-3563
(609) 689-9260
(609) 689-9268
Mailing address
2500 BOULEVARD OF THE GENERALS, HAMILTON CAMPUS, NORRISTOWN, PA 19403-3692
(610) 630-1515
(610) 630-6839
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001820000
INDEPENDENCE BLUE CROSS
—
01
—
1035958
HORIZON MERCY
NJ
01
—
312552
HORIZON BC/BS NEW JERSEY
NJ
01
—
550788
AETNA US HEALTH CARE
—
05
—
8344108
—
NJ
Enumeration date
10/06/2006
Last updated
09/04/2007
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