RENAL TREATMENT CENTERS-ILLINOIS INC (NPI# 1003139114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003139114 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS-ILLINOIS INC |
| Other Organization Name | PRINCETON DIALYSIS |
| Practice Address |
2227 Sherman Dr Princeton IN 47670-1062 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8123852906 |
| Practice Fax Number | 8123853293 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER/TREASURER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200993400A | 05 |
| Other Name | Type Code |
|---|---|
| Princeton Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588042857 | Renal Treatment Centers-illinois Inc | Clinic/Center | 450 N Telegraph Rd Ste 600, Pontiac, MI 48341-1037 | 2015-05-07 |
| 1598982506 | Renal Treatment Centers-illinois Inc | Clinic/Center | 4747 Suder Ave, Ste 107, Toledo, OH 43611-2869 | 2007-04-19 |
| 1649210824 | Renal Treatment Centers-illinois Inc | Clinic/Center | 12654 Lamplighter Square Shpg Ctr, Saint Louis, MO 63128-2746 | 2006-06-07 |
| 1568431864 | Renal Treatment Centers-illinois Inc | Clinic/Center | 1028 S Kunkle Blvd, Freeport, IL 61032-6914 | 2006-03-17 |
| 1265537849 | Renal Treatment Centers-illinois Inc | Clinic/Center | 1140 W Jefferson St, Ste A, Franklin, IN 46131-2101 | 2006-09-14 |
| 1083678445 | Renal Treatment Centers-illinois Inc | Clinic/Center | 6601 Lyndale Ave S, Suite 150, Richfield, MN 55423-2490 | 2006-04-13 |
| Street Address |
2227 SHERMAN DR |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649458076 | Princeton Dialysis LLC | Clinic/Center | 2227 Sherman Dr, Princeton, IN 47670-1062 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
| 1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
| 1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
| 1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
| Find all providers in zip 47670 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649458076 | Princeton Dialysis LLC | Clinic/Center | 2227 Sherman Dr, Princeton, IN 47670-1062 | 2008-02-07 |
| 1346352150 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 160 Springhaven Dr, Princeton, WV 24740-2357 | 2006-08-31 |
| 1184644593 | Dialysis Clinic Inc. | Clinic/Center | 88 Princeton Hightstown R, Princeton, NJ 08550 | 2006-07-20 |
| 1730138223 | St. Cloud Hospital | Clinic/Center | 112 S Rum River Dr, Princeton, MN 55371-1816 | 2006-05-10 |
| 1154300564 | Nra Princeton Kentucky LLC | Clinic/Center | 401 S Jefferson St, Princeton, KY 42445-2113 | 2006-01-13 |
| 1720182595 | Bio-medical Applications of New Jersey, Inc. | Clinic/Center | 707 Alexander Rd, Bldg. 3, Ste. 301, Princeton, NJ 08540-6331 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.