CHATTANOOGA KIDNEY CENTERS, LLC (NPI# 1265411300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265411300 |
| Entity Type | Organization |
| Organization Name | CHATTANOOGA KIDNEY CENTERS, LLC |
| Practice Address |
2118 Stein Drive Chattanooga TN 37421-1691 |
| Mailing Address |
3810 Brainerd Road Chattanooga TN 37411-3729 |
| Practice Telephone | 4236484900 |
| Practice Fax Number | 4236484906 |
| Mailing Telephone | 4234869510 |
| Mailing Fax Number | 9234869543 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | MANDEEP GREWAL (ADMINISTRATOR) |
| Authorized Official Telephone | 4236484900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
0000000138 | TN | Ambulatory Health Care Facilities |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003118324A | 05 | |
| TN | 0442651 | 05 |
| Street Address |
2118 STEIN DRIVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| 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 |
|---|---|---|---|---|
| 1679828255 | Kidney Center of Missionary Ridge, LLC | Clinic/Center | 3810 Brainerd Rd, Chattanooga, TN 37411-3729 | 2012-07-19 |
| 1114237880 | Kidney Center of Highway 58, LLC | Clinic/Center | 4803 Highway 58, Suite B, Chattanooga, TN 37416-1826 | 2010-10-15 |
| 1215190996 | Chattanooga Kidney Centers of North LLC | Clinic/Center | 649 Morrison Springs Rd, Chattanooga, TN 37405 | 2008-07-03 |
| 1740213123 | Dialysis Clinic Inc. | Clinic/Center | 3555 Broad St, Chattanooga, TN 37409-1028 | 2006-07-08 |
| 1770511321 | Dialysis Clinic Inc. | Clinic/Center | 1425 E 3rd St, Chattanooga, TN 37404-2435 | 2006-06-30 |
| 1972609139 | Chattanooga Hamilton County Hospital Authority | Clinic/Center | 975 E 3rd St, Chattanooga, TN 37403 | 2006-09-15 |
| 1235162611 | Dialysis Clinic Inc. | Clinic/Center | 2300 E 3rd St, Chattanooga, TN 37404-2734 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736438 | Fresenius Medical Care Cookeville, LLC | Clinic/Center | 117 N Hickory Ave Ste 100, Cookeville, TN 38501-2424 | 2019-12-03 |
| 1245872829 | Pure Life Renal of Cool Springs, LLC | Clinic/Center | 1648 Westgate Cir Ste 100, Brentwood, TN 37027-8019 | 2019-10-15 |
| 1386298560 | Mattapan Dialysis LLC | Clinic/Center | 5144 Riverdale Rd Ste 103, Memphis, TN 38141-0271 | 2019-07-26 |
| 1114480761 | Avail Southeast Kidney Care LLC | Clinic/Center | 2008 Brookside Dr Ste 100, Kingsport, TN 37660-4640 | 2019-04-10 |
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1972062669 | Dialyze Direct Tn, LLC | Clinic/Center | 2600 Thousand Oaks Blvd Ste 1400, Memphis, TN 38118-2401 | 2019-03-13 |
| 1336610757 | Fresenius Medical Care Columbia Franklin, LLC | Clinic/Center | 8048 Station Hill Drive, Spring Hill, TN 37174 | 2018-12-11 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1164907929 | Fresenius Medical Care Sandy River, LLC | Clinic/Center | 57 Commerce St, Paris, TN 38242-4917 | 2018-09-27 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on CHATTANOOGA KIDNEY CENTERS, 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.