NRA PRINCETON KENTUCKY LLC (NPI# 1154300564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154300564 |
| Entity Type | Organization |
| Organization Name | NRA PRINCETON KENTUCKY LLC |
| Other Organization Name | CALDWELL COUNTY DIALYSIS CLINIC |
| Practice Address |
401 S Jefferson St Princeton KY 42445-2113 |
| Practice Telephone | 2703657588 |
| Practice Fax Number | 2703657586 |
| Mailing Telephone | 2703657588 |
| Mailing Fax Number | 2703657586 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | MR. MARK R. FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
300151 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CLIA CERT OF WAIVER | 18D1004814 | 01 |
| KY | 39000534 | 05 |
| Other Name | Type Code |
|---|---|
| Caldwell County Dialysis Clinic | Doing Business As Name - Organization |
| Street Address |
401 S JEFFERSON ST |
| City | PRINCETON |
| State | KY |
| Zip Code | 42445-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451962 | Margaret O Cartwright | Speech-Language Pathologist | 414 Stephens Rd., Princeton, KY 42445 | 2020-03-11 |
| 1467878512 | Genesis Health Care | Skilled Nursing Facility | 11524 Dawson Road, Princeton, KY 42445 | 2014-03-13 |
| 1639353741 | Princeton Family Care, Pllc | Nurse Practitioner | 323 C South Jefferson St, Princeton, KY 42445 | 2007-12-26 |
| 1285720979 | Vicki Jean Simms | Pharmacist | 550 U.S. Hwy 62 West, Princeton, KY 42445 | 2006-10-04 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1285648824 | Sylvia Lynn Mccarty | Social Worker | 1350 Hwy 62 West, Princeton, KY 42445 | 2006-07-28 |
| 1497157341 | App of Kentucky Ed, Pllc | Physician Assistant | 100 Medical Center Dr, Princeton, KY 42445 | 2014-09-23 |
| 1902238496 | Luis Felipe Miranda | Dentist | 406 W Washington St, Princeton, KY 42445 | 2013-08-06 |
| 1932309697 | Shandi Lynne Damron | Social Worker | 1350 Us Highway 62 W, Princeton, KY 42445 | 2007-07-20 |
| 1851486708 | Caldwell County Hospital Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Princeton, KY 42445 | 2006-10-04 |
| Find all providers in zip 42445 | ||||
| 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 |
| 1003139114 | Renal Treatment Centers-illinois Inc | Clinic/Center | 2227 Sherman Dr, Princeton, IN 47670-1062 | 2010-03-03 |
| 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 |
|---|---|---|---|---|
| 1962000232 | Fresenius Medical Care Kentuckiana Ht, LLC | Clinic/Center | 6400 Dutchmans Pkwy Ste 145, Louisville, KY 40205-3342 | 2020-10-09 |
| 1659988970 | Dialyze Direct Ky, LLC | Clinic/Center | 9780 Ormsby Station Rd Ste 1200, Louisville, KY 40223-4049 | 2020-09-30 |
| 1922637529 | Total Renal Care, Inc. | Clinic/Center | 601 Chamberlin Ave, Frankfort, KY 40601-4220 | 2020-04-06 |
| 1629602727 | Pure Life Renal of Louisville, LLC | Clinic/Center | 3935 Taylorsville Rd, Louisville, KY 40220-1455 | 2020-02-27 |
| 1407496557 | Total Renal Care, Inc. | Clinic/Center | 310n L Rogers Wells Bldv, Glasgow, KY 42141-1300 | 2020-01-07 |
| 1093213902 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1715 Gagel Ave, Louisville, KY 40216-2763 | 2018-01-25 |
| 1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
| 1811414980 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 23 A St Ste A, Louisa, KY 41230-6001 | 2017-08-29 |
| 1467978791 | Total Renal Care Inc | Clinic/Center | 737 Dishman Lane Ext, Bowling Green, KY 42104-3898 | 2017-08-18 |
| 1831615434 | Fresenius Medical Care Stanford, LLC | Clinic/Center | 29 Frontier Blvd, Stanford, KY 40484-8513 | 2017-08-16 |
| 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.