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
1962 NORTH OLDEN AVENUE, EWING, NJ 08618-2108
(609) 671-1600
(609) 671-9831
Mailing address
2500 BLVD OF THE GENERALS, EWING 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001820000
INDEPENDENCE BLUE CROSS
PA
01
—
1035958
HORIZON MERCY
NJ
01
—
312527
HORIZON BC/BS NEW JERSEY
NJ
01
—
550788
AETNA USHEALTHCARE
NJ
05
—
6812805
—
NJ
Enumeration date
09/13/2005
Last updated
09/04/2007
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