NORTH MAIN KIDNEY CENTER LLC (NPI# 1104143460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104143460 |
| Entity Type | Organization |
| Organization Name | NORTH MAIN KIDNEY CENTER LLC |
| Practice Address |
3900 North Main St Columbia SC 29203-6445 |
| Practice Telephone | 8037791201 |
| Practice Fax Number | 8037791202 |
| Mailing Telephone | 8037791201 |
| Mailing Fax Number | 8037791202 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 |
|---|---|---|---|
| SC | RE0023 | 05 |
| Street Address |
3900 NORTH MAIN ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| 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 |
|---|---|---|---|---|
| 1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1245639996 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 140 Highland Center Dr., Columbia, SC 29203 | 2014-08-19 |
| 1366793630 | Total Renal Care Inc | Clinic/Center | 3320 Bluff Creek Dr Ste 105, Columbia, MO 65201-3662 | 2012-09-27 |
| 1952540874 | American Red Cross | Clinic/Center | 1511 S Providence Rd, Columbia, MO 65203-3535 | 2009-02-17 |
| 1336399666 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 150 Park Central Dr, Columbia, SC 29203-6469 | 2008-09-23 |
| 1518136985 | Decker Dialysis LLC | Clinic/Center | 201 Columbia Mall Blvd, Ste 141, Columbia, SC 29223-7536 | 2008-02-29 |
| 1558421669 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 2139 Adams Grv, Columbia, SC 29203-7102 | 2006-12-11 |
| 1073615498 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 7631 Wilson Blvd, Columbia, SC 29203-3020 | 2006-09-05 |
| 1548372352 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1840 Pineview Dr, Columbia, SC 29209-5085 | 2006-08-31 |
| Find all providers in COLUMBIA | ||||
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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.