GULCH DIALYSIS LLC (NPI# 1184080194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184080194 |
| Entity Type | Organization |
| Organization Name | GULCH DIALYSIS LLC |
| Other Organization Name | FASHION SQUARE DIALYSIS |
| Practice Address |
5641 Bay Rd Saginaw MI 48604-2509 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 6153416657 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665946691 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | JOHN 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 |
|---|---|---|---|
| MI | 1184080194 | 05 |
| Other Name | Type Code |
|---|---|
| Fashion Square Dialysis | Doing Business As Name - Organization |
| Street Address |
5641 BAY RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| 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 |
|---|---|---|---|---|
| 1033508536 | Decatur Hospital Authority | Clinic/Center | 600 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3565 | 2015-01-21 |
| 1881010148 | Nolia Dialysis, LLC | Clinic/Center | 900 N Blue Mound Rd Ste 192, Saginaw, TX 76131-8828 | 2014-03-11 |
| 1841597689 | Portola Dialysis LLC | Clinic/Center | 323 N Michigan Ave, Saginaw, MI 48602-4240 | 2011-02-14 |
| 1124133962 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 920 N Niagara St, Saginaw, MI 48602-4332 | 2006-08-20 |
| 1093753568 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 4800 Mcleod Dr E, Bay Area Reg. Dialysis Ctr Saginaw - Ckd Services, Saginaw, MI 48604-2839 | 2006-06-04 |
| 1518929868 | Renal Treatment Centers Illinois Inc | Clinic/Center | 311 Hoyt Ave, Saginaw, MI 48607 | 2006-04-03 |
| 1235673724 | Nxkc Saginaw, LLC | Clinic/Center | 5375 Hampton Pl, Saginaw, MI 48604-9478 | 2016-12-19 |
| 1861947020 | Portola Dialysis LLC | Clinic/Center | 1205 N Michigan Ave, Saginaw, MI 48602-4729 | 2016-08-17 |
| 1710095633 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 4800 Mcleod Dr E, Saginaw, MI 48604-2839 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GULCH DIALYSIS LLC.
| 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.