MAQUOKETA KIDNEY CENTER, LLC (NPI# 1265768451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265768451 |
| Entity Type | Organization |
| Organization Name | MAQUOKETA KIDNEY CENTER, LLC |
| Practice Address |
700 W Grove St Maquoketa IA 52060-2163 |
| Mailing Address |
400 John Deere Rd Moline IL 61265-6898 |
| Practice Telephone | 5636529674 |
| Practice Fax Number | 5636529679 |
| Mailing Telephone | 3097625570 |
| Mailing Fax Number | 3097625297 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | DR. RAJESH ALLA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3097625570 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|---|---|
| IA | 1265768451 | 05 | |
| IA | BCBS OF IA / WELLMARK | 62543 | 01 |
| Street Address |
700 W GROVE ST |
| City | MAQUOKETA |
| State | IA |
| Zip Code | 52060-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417468257 | Shelby Lynn Shedenhelm | Speech-Language Pathologist | 700 W Grove St, Maquoketa, IA 52060-2163 | 2017-10-19 |
| 1275076184 | Carrington Giddings | Occupational Therapist | 700 W Grove St, Maquoketa, IA 52060-2163 | 2016-11-25 |
| 1003276478 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 700 W Grove St, Maquoketa, IA 52060-2163 | 2016-02-29 |
| 1013267491 | Shawn Michael Murphy | Physical Medicine & Rehabilitation | 700 W Grove St, Maquoketa, IA 52060-2163 | 2012-09-13 |
| 1063769669 | Joseph Ryan Garrison | Physical Medicine & Rehabilitation | 700 W Grove St, Maquoketa, IA 52060-2163 | 2012-08-14 |
| 1053678292 | Sloan Elizabeth Dow | Physical Therapist | 700 W Grove St, Maquoketa, IA 52060-2163 | 2012-04-12 |
| 1932308525 | Mary Anne Baker | Physical Medicine & Rehabilitation | 700 W Grove St, Maquoketa, IA 52060-2163 | 2007-07-13 |
| 1639377021 | Katherine L Hurst | Family Medicine | 700 W Grove St, Maquoketa, IA 52060-2163 | 2007-07-06 |
| 1689705949 | Jackson County Public Hospital | Emergency Medicine | 700 W Grove St, Maquoketa, IA 52060-2163 | 2007-03-08 |
| 1629156096 | Richard Kindle Smith | Nurse Anesthetist, Certified Registered | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222709 | Megan Elizabeth Vance | Counselor | 119 S Main St Ste 2, Maquoketa, IA 52060 | 2018-07-27 |
| 1750476669 | Joseph A Lechtenberg Jr. | Dentist | 129 W Pleasant St, Maquoketa, IA 52060 | 2006-10-04 |
| 1629018650 | Abby Lee Gehl | Dentist | 119 South Main Ste 1, Maquoketa, IA 52060 | 2006-06-07 |
| 1528015328 | Smiles On Main | Dentist | 119 South Main, Ste 1, Maquoketa, IA 52060 | 2006-05-27 |
| 1396794178 | Mary Virginia Schwartz | Counselor | 714 W Platt, Maquoketa, IA 52060 | 2006-05-09 |
| 1255392122 | David Scott Sybesma | Optometrist | 1408 43rd Street, Maquoketa, IA 52060 | 2006-03-30 |
| 1730669433 | Eyewear Gallery | Optometrist | 101 N Main St, Maquoketa, IA 52060 | 2018-08-21 |
| 1720579790 | Heinrich Chiropractic Pllc | Chiropractor | 620 S Main St, Maquoketa, IA 52060 | 2018-05-24 |
| 1598817173 | Clyde Daniel Overturff | Dentist | 204 N Arcade St, Maquoketa, IA 52060 | 2007-01-17 |
| 1275573206 | Salvador D Atienza | Dentist | 119 South Main, Ste 1, Maquoketa, IA 52060 | 2006-06-07 |
| Find all providers in zip 52060 | ||||
| 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 |
|---|---|---|---|---|
| 1003276478 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 700 W Grove St, Maquoketa, IA 52060-2163 | 2016-02-29 |
| 1316901606 | Jackson County Public Hospital | Clinic/Center | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817218 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 | 2020-09-30 |
| 1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
| 1588221824 | Rcg Mercy Des Moines LLC | Clinic/Center | 9080 University Ave, West Des Moines, IA 50266-1892 | 2019-05-22 |
| 1639634207 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884 | 2019-02-07 |
| 1245755529 | Trusten Dialysis LLC | Clinic/Center | 1119 73rd St, Windsor Heights, IA 50324-1313 | 2017-08-08 |
| 1477086692 | Wallips Dialysis, LLC | Clinic/Center | 1117 Hazel St, Pella, IA 50219-1338 | 2017-04-05 |
| 1821499245 | Clyfee Dialysis LLC | Clinic/Center | 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 | 2014-09-05 |
| 1477980365 | Honeyman Dialysis LLC | Clinic/Center | 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 | 2013-10-09 |
| 1982947792 | Davis Dialysis LLC | Clinic/Center | 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 | 2013-03-29 |
| 1972843738 | Geyser Dialysis LLC | Clinic/Center | 2625 N Ankeny Blvd, Ankeny, IA 50023 | 2013-02-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAQUOKETA KIDNEY CENTER, 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.