NRA PRINCETON KENTUCKY LLC


Address: 401 S Jefferson St, Princeton, KY 42445-2113
Phone: 2703657588

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).

Provider Overview

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.

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY CLIA CERT OF WAIVER 18D1004814 01
KY 39000534 05

Other Provider/Organization Names

Other Name Type Code
Caldwell County Dialysis Clinic Doing Business As Name - Organization

Office Location

Street Address 401 S JEFFERSON ST
City PRINCETON
State KY
Zip Code 42445-2113

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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
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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
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

Providers in the same taxonomy and state

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
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Competitor

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City PRINCETON
Zip Code 42445

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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