PLATTE DIALYSIS LLC (NPI# 1205177870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205177870 |
| Entity Type | Organization |
| Organization Name | PLATTE DIALYSIS LLC |
| Other Organization Name | REDBIRD SMITH DIALYSIS |
| Practice Address |
305 S J T Stites St Sallisaw OK 74955-9302 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9182350290 |
| Practice Fax Number | 9182350351 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2020-08-17 |
| 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 |
|---|---|---|---|
| OK | 200296340 D | 05 |
| Other Name | Type Code |
|---|---|
| Redbird Smith Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972844884 | Platte Dialysis LLC | Clinic/Center | 80851 Highway 59, Stilwell, OK 74960-1636 | 2013-03-04 |
| 1598006041 | Platte Dialysis LLC | Clinic/Center | 2316 W Shawnee St, Muskogee, OK 74401-2228 | 2013-03-08 |
| 1740515378 | Platte Dialysis LLC | Clinic/Center | 1373 E Boone St, Tahlequah, OK 74464-3330 | 2009-10-15 |
| Street Address |
305 S J T STITES ST |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-9302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| 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 |
|---|---|---|---|---|
| 1043820111 | Midtown Home Dialysis LLC | Clinic/Center | 621 Nw 6th St, Oklahoma City, OK 73102-1203 | 2020-08-04 |
| 1750905733 | Bio Medical Applications of Oklahoma Inc | Clinic/Center | 324 Nw J A Richardson Loop, Ada, OK 74820-2017 | 2020-06-04 |
| 1346879640 | Fresenius Medical Care Okcd, LLC | Clinic/Center | 3012 Nw 150th St, Oklahoma City, OK 73134-2030 | 2020-04-07 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1487206595 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 215 S Brady St, Claremore, OK 74017-5081 | 2019-07-10 |
| 1104387711 | Total Renal Care, Inc. | Clinic/Center | 2 E Clark Bass Blvd Ste 101, Mcalester, OK 74501-4210 | 2019-03-27 |
| 1124509245 | Renal Treatment Centers West Inc | Clinic/Center | 6917 N May Ave, Oklahoma City, OK 73116-3238 | 2018-08-27 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1356881346 | Macab Dialysis LLC | Clinic/Center | 204 S Van Buren St, Enid, OK 73703-5812 | 2017-02-24 |
| 1013455336 | Fresenius Medical Care Moore, LLC | Clinic/Center | 450 N Eastern Ave., Moore, OK 73160-5833 | 2017-02-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PLATTE 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.