DELABAR DIALYSIS LLC (NPI# 1073912721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073912721 |
| Entity Type | Organization |
| Organization Name | DELABAR DIALYSIS LLC |
| Other Organization Name | TYRONE DIALYSIS |
| Practice Address |
175 Hospital Dr Tyrone PA 16686-1808 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8146844390 |
| Practice Fax Number | 8146842402 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| 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 |
|---|---|---|---|
| PA | 1030033770001 | 05 |
| Other Name | Type Code |
|---|---|
| Tyrone Dialysis | Doing Business As Name - Organization |
| Street Address |
175 HOSPITAL DR |
| City | TYRONE |
| State | PA |
| Zip Code | 16686-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760807416 | Tyrone Hospital | General Acute Care Hospital | 175 Hospital Dr, Tyrone, PA 16686-1808 | 2014-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548660129 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1365 Logan Avenue, Tyrone, PA 16686 | 2014-09-02 |
| 1750696571 | Amanda J. Kunsman | Physician Assistant | 1400 Pennsylvania Avenue, Tyrone, PA 16686 | 2010-08-17 |
| 1386884310 | Gary A Raymond Dpm PC | Podiatrist | 154 Hospital Drive, Suite 4, Tyrone, PA 16686 | 2009-03-04 |
| 1376664755 | Med Center Pharmacy | Pharmacy | Cloy Ave Extension, Tyrone, PA 16686 | 2007-04-03 |
| 1427194778 | Robert James Sloss | Dentist | 1006 Logan Ave, Tyrone, PA 16686 | 2007-01-30 |
| 1538222872 | Larry Michael Koren | Chiropractor | Rd 4 Box 3a, Tyrone, PA 16686 | 2006-12-18 |
| 1417057134 | Francis J Mcclain | Dentist | 1014 Logan Avenue, Tyrone, PA 16686 | 2006-09-23 |
| 1174598304 | William James Mazzocco Jr. | Physician Assistant | Tyrone Hospital, One Hospital Drive, Tyrone, PA 16686 | 2006-02-21 |
| 1447224332 | David R Arbutina | Surgery | 154 Hospital Drive, Suite 5, Tyrone, PA 16686 | 2006-02-15 |
| 1336421965 | Nittany Eye Associates | Optometrist | 175 Hospital Drive, Tyrone, PA 16686 | 2011-09-09 |
| Find all providers in zip 16686 | ||||
| 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 |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 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 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| 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.