ISD RENAL INC


Address: 1702 E 10th St Ste C, Rolla, MO 65401-4600
Phone: 5734582013

ISD RENAL INC (NPI# 1063923753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063923753
Entity Type Organization
Organization Name ISD RENAL INC
Other Organization Name ROLLA HOME TRAINING
Practice Address 1702 E 10th St Ste C
Rolla
MO 65401-4600
Mailing Address 5200 Virginia Way
L & C Department
Brentwood
TN 37027-7569
Practice Telephone 5734582013
Practice Fax Number 5734582094
Mailing Telephone 6153416264
Mailing Fax Number 8002972925
Enumeration Date 2017-10-20
Last Update Date 2020-04-08
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MO 500060490 05

Other Provider/Organization Names

Other Name Type Code
Rolla Home Training Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295344307 Isd Renal Inc Clinic/Center 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 2020-07-24
1225647332 Isd Renal Inc Clinic/Center 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 2020-07-24
1336758549 Isd Renal Inc Clinic/Center 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 2020-07-24
1538793773 Isd Renal Inc Clinic/Center 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 2020-02-26
1821646035 Isd Renal Inc Clinic/Center 262 Broad St, Newark, NJ 07104-3809 2019-08-30
1245891670 Isd Renal Inc Clinic/Center 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 2019-06-26
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1003390469 Isd Renal Inc Clinic/Center 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 2018-09-21
1174006662 Isd Renal Inc Clinic/Center 2636 W Michigan St, Indianapolis, IN 46222-3727 2018-09-11
1619459682 Isd Renal Inc Clinic/Center 620 Mall Blvd Ste E, Dyersburg, TN 38024-1649 2018-09-05

Office Location

Street Address 1702 E 10TH ST STE C
City ROLLA
State MO
Zip Code 65401-4600

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639645591 Samantha Jo Mitchell Pharmacist 1375 E 10th St Suite B, Rolla, MO 65401 2018-10-18
1427567726 Gerry Wade Funkhouser Jr. Counselor 103 W 10th St, Rolla, MO 65401 2017-09-29
1366967960 Shana Hintz Wisniewski Social Worker 1000 W. 10th St., Rolla, MO 65401 2017-08-04
1174066559 Tabitha Hundt Counselor 1011 Cypress Dr, Rolla, MO 65401 2016-12-02
1841742855 Alpha Assisted Living LLC Assisted Living Facility 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 2016-10-26
1275916884 Elizabeth Zersen Occupational Therapist 2053 Vienna Rd, Rolla, MO 65401 2015-06-30
1386047025 Becky L Witham Nurse Practitioner 1060 W 10th Street, Rolla, MO 65401 2014-10-08
1114326121 Summer Adey Licensed Practical Nurse 13750 State Route F, Rolla, MO 65401 2014-08-14
1518303296 Leaetta Mildred Gardner Nursing Facility/Intermediate Care Facility 13450 County Road 7040, Rolla, MO 65401 2013-05-21
1316282064 Susan Peitz Gruener Occupational Therapy Assistant 1800 White Column Road, Rolla, MO 65401 2012-12-06
Find all providers in zip 65401

Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427019025 Dva Renal Healthcare Inc Clinic/Center 1503 E 10th St, Rolla, MO 65401-3696 2006-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336748110 Westbrook Dialysis, LLC Clinic/Center 140 West Drive, Cape Girardeau, MO 63701 2020-10-22
1902415284 Fresenius Medical Care Creve Coeur Home Therapies, LLC Clinic/Center 450 N New Ballas Rd Ste 170, Creve Coeur, MO 63141-6835 2020-07-23
1730716085 Fresenius Medical Care Creve Coeur, LLC Clinic/Center 450 North New Bassas Road, Suite 180, Creve Coeur, MO 63141-6835 2020-03-26
1285109041 Branson Kidney Center LLC Clinic/Center 17829 Bus 13, Branson West, MO 65737 2018-10-09
1790271864 Dialysis Clinic Inc Clinic/Center 3101 W Broadway Ste 115, Columbia, MO 65203-0496 2018-07-02
1033602990 Lantell Dialysis LLC Clinic/Center 8608 E 63rd St, Kansas City, MO 64133-4725 2018-06-14
1851892731 Sparda Dialysis LLC Clinic/Center 40 Walters Pl, House Springs, MO 63051-1491 2018-02-26
1063923977 Total Renal Care Inc Clinic/Center 802 Jules St, St Joseph, MO 64501-1944 2017-10-18
1942710991 Washington University Clinic/Center 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 2017-10-04
1376077123 Isd Renal, Inc. Clinic/Center 14001 New Halls Ferry Rd Ste 133, Florissant, MO 63033-2708 2017-04-19
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Competitor

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City ROLLA
Zip Code 65401

Improve Information

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Dataset Information

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.

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