DIALYSIS CLINIC INC. (NPI# 1275747735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275747735 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC. |
| Practice Address |
905 Louisiana Blvd, Ne Albuquerque NM 87110-7048 |
| Mailing Address |
1500 Indian School Rd Ne Albuquerque NM 87102-1646 |
| Practice Telephone | 5052541800 |
| Practice Fax Number | 5052541801 |
| Mailing Telephone | 5052437376 |
| Mailing Fax Number | 5057241526 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | MR. WILLIAM E. WOOD II (PRESIDENT) |
| Authorized Official Telephone | 6153273061 |
| 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 |
|---|---|---|---|
| NM | 64573338 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1922346147 | Dialysis Clinic Inc. | Clinic/Center | 2800 W 10th St, Suite 510, Little Rock, AR 72204-2206 | 2013-01-23 |
| 1477807139 | Dialysis Clinic Inc. | Clinic/Center | 1545 Meadowview Rd, Suites 130 - 180, Sacramento, CA 95832-1081 | 2012-11-02 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
| 1174811657 | Dialysis Clinic Inc. | Clinic/Center | 176 Washington Avenue Ext, Suite 100, Albany, NY 12203-5300 | 2011-07-18 |
| 1437445293 | Dialysis Clinic Inc. | Clinic/Center | 5300 Archdale Blvd, North Charleston, SC 29418-3343 | 2011-06-21 |
| 1336443282 | Dialysis Clinic Inc. | Clinic/Center | 275 South Orchard, Ukiah, CA 95482-5016 | 2011-01-07 |
| 1518271790 | Dialysis Clinic Inc. | Clinic/Center | 822 Wild Ave., Evergreen, AL 36401-2545 | 2010-07-30 |
| 1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
| Street Address |
905 LOUISIANA BLVD, NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| 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 |
|---|---|---|---|---|
| 1710406301 | Dialysis Clinic Inc | Clinic/Center | 8121 Central Ave Nw, Albuquerque, NM 87121-2125 | 2017-09-14 |
| 1033634175 | Chantry Dialysis, LLC | Clinic/Center | 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 | 2017-08-10 |
| 1386016541 | Bogachiel Dialysis LLC | Clinic/Center | 5201 San Mateo Blvd Ne, Albuquerque, NM 87109-2414 | 2015-10-28 |
| 1588063143 | Albuquerque Westside, LLC | Clinic/Center | 300 Unser Blvd Nw, Albuquerque, NM 87121-1969 | 2014-08-20 |
| 1144564857 | Liberty New Mexico Partners 2, LLC | Clinic/Center | 5751 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2012-11-19 |
| 1336483221 | Liberty New Mexico Partners 1, LLC | Clinic/Center | 3810 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2012-11-16 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1699804807 | Unm Hospital | Clinic/Center | 2211 Lomas Blvd., Ne, Albuquerque, NM 87106-2745 | 2007-03-05 |
| 1770695678 | Bio Medical Applications of New Mexico, Inc. | Clinic/Center | 1600 Randolph Se, Albuquerque, NM 87106 | 2006-08-31 |
| 1306958202 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 11296 Lomas Blvd Ne, Albuquerque, NM 87112-5578 | 2006-08-31 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| 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.