SOUTHEASTERN INDIANA DIALYSIS LLC (NPI# 1043475312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043475312 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN INDIANA DIALYSIS LLC |
Other Organization Name | NORTH VERNON DIALYSIS |
Practice Address |
2340 North State Highway 7 North Vernon IN 47265-7183 |
Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
Practice Telephone | 8123528150 |
Practice Fax Number | 8123528204 |
Mailing Telephone | 6153204521 |
Mailing Fax Number | 8665942894 |
Enumeration Date | 2008-07-25 |
Last Update Date | 2009-10-16 |
Authorized Official Name | JIM HILGER (VICE PRESIDENT) |
Authorized Official Telephone | 2533821919 |
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 | 200945790A | 05 |
Other Name | Type Code |
---|---|
North Vernon Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811141930 | Southeastern Indiana Dialysis LLC | Clinic/Center | 1400 N Cherry St, Rushville, IN 46173-1097 | 2008-11-17 |
Street Address |
2340 NORTH STATE HIGHWAY 7 |
City | NORTH VERNON |
State | IN |
Zip Code | 47265-7183 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
Find all providers in zip 47265 |
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 |
---|---|---|---|---|
1639492200 | Total Renal Care Inc | Clinic/Center | 2340 N State Highway 7, North Vernon, IN 47265-7183 | 2010-03-10 |
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 |
City | NORTH VERNON |
Zip Code | 47265 |
Please comment or provide details below to improve the information on SOUTHEASTERN INDIANA DIALYSIS LLC.
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.