RANCHO DIALYSIS LLC (NPI# 1225367873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225367873 |
| Entity Type | Organization |
| Organization Name | RANCHO DIALYSIS LLC |
| Other Organization Name | DOVER COMMUNITY DIALYSIS |
| Practice Address |
899 E Iron Ave Dover OH 44622-2097 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3303646309 |
| Practice Fax Number | 3303646490 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|---|---|
| OH | 3118156 | 05 |
| Other Name | Type Code |
|---|---|
| Dover Community Dialysis | Doing Business As Name - Organization |
| Street Address |
899 E IRON AVE |
| City | DOVER |
| State | OH |
| Zip Code | 44622-2097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174605943 | The Union Hospital Association | Home Health | 899 E Iron Ave, Suite 2, Dover, OH 44622-2097 | 2006-10-20 |
| 1285780049 | A T Tamboli M D Inc | Family Medicine | 899 E Iron Ave, Dover, OH 44622-2097 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| 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 |
|---|---|---|---|---|
| 1275022337 | Dover Universal LLC | Clinic/Center | 107 Mont Blanc Blvd, Suite 100, Dover, DE 19904-7624 | 2018-05-04 |
| 1073045951 | Fresenius Medical Care Southern Delaware, LLC | Clinic/Center | 80 Salt Creek Dr, Dover, DE 19901-2436 | 2017-03-30 |
| 1730284514 | National Medical Care, Inc. | Clinic/Center | Blue Hen Corporate Center, 655 Bay Road, Suite 4m, Dover, DE 19904 | 2006-09-14 |
| 1992256366 | Fresenius Medical Care Southern Delaware, LLC | Clinic/Center | 1198 S Governors Ave, Dover, DE 19904-6930 | 2016-10-20 |
| 1275918609 | Bio-medical Applications of New Jersey, Inc. | Clinic/Center | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-07-28 |
| 1427308717 | Bio-medical Applications of New Hampshire, Inc. | Clinic/Center | 343 6th St, Dover, NH 03820-5905 | 2012-09-13 |
| 1841582343 | Fresenius Medical Care Southern Delaware, LLC | Clinic/Center | 97 Commerce Way, Suite 104, Dover, DE 19904-7794 | 2011-05-03 |
| 1568753341 | Fresenius Medical Care Southern Delaware, LLC | Clinic/Center | 655 S Bay Rd, Suite 4m, Dover, DE 19901-4656 | 2011-04-27 |
| 1669532511 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 97 Commerce Way, Ste. 104, Dover, DE 19904-8228 | 2006-12-11 |
| 1992879316 | Bayhealth Medical Center, Inc. | Clinic/Center | 640 S State St, Dover, DE 19901-3530 | 2006-11-17 |
| Find all providers in DOVER | ||||
Please comment or provide details below to improve the information on RANCHO 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.