MACAB DIALYSIS LLC


Address: 204 S Van Buren St, Enid, OK 73703-5812
Phone: 5802371264

MACAB DIALYSIS LLC (NPI# 1356881346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356881346
Entity Type Organization
Organization Name MACAB DIALYSIS LLC
Other Organization Name GARFIELD COUNTY DIALYSIS
Practice Address 204 S Van Buren St
Enid
OK 73703-5812
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 5802371264
Practice Fax Number 5802371463
Mailing Telephone 6156204268
Mailing Fax Number 8772380567
Enumeration Date 2017-02-24
Last Update Date 2019-09-04
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OK 200770970A 05

Other Provider/Organization Names

Other Name Type Code
Garfield County Dialysis Doing Business As Name - Organization

Office Location

Street Address 204 S VAN BUREN ST
City ENID
State OK
Zip Code 73703-5812

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851902233 Gena M Ford Massage Therapist 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 2020-08-11
1396270351 Zoom Diagnostic Imaging LLC Clinic/Center 1113 West Cherry Ave, Enid, OK 73703 2017-04-27
1083154173 Amanda Percival, Pllc Counselor 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 2017-03-08
1972934297 Ty Stroble Behavioral Analyst 408 N Oakwood, Apt.13d, Enid, OK 73703 2013-12-12
1801132204 Ryan Patrick Williams Dentist 2510 W Chestnut Ave, Ste A, Enid, OK 73703 2012-12-13
1295094720 Heather Jeanette Linder Counselor 2700 N. Vanburen, Trailer 240, Enid, OK 73703 2012-05-03
1366729477 Karen Lynn Harris Counselor 1625 W. Garriot, Suite F, Enid, OK 73703 2011-11-03
1659666501 Courtney Michelle Pike Behavioral Analyst 1625 West Owen K Garriott Road # F, Enid, OK 73703 2011-06-17
1194040089 Erin K. Roberts, Dds, Plc Dentist 1402 N Van Buren, Enid, OK 73703 2010-04-02
1770812109 Tabitha Janel Simon Counselor 529 North Grand, Enid, OK 73703 2009-12-14
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477665347 Renal Care Group of The Midwest Clinic/Center 121 W Owen K Garriott Rd, Enid, OK 73701-5617 2006-08-31
1417221839 Fresenius Medical Care Enid, LLC Clinic/Center 121 W Owen K Garriott Rd, Enid, OK 73701-5617 2012-03-02

Providers in the same taxonomy and state

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
1013455336 Fresenius Medical Care Moore, LLC Clinic/Center 450 N Eastern Ave., Moore, OK 73160-5833 2017-02-07
1184170870 Total Renal Care Inc Clinic/Center 2410 W Grant Ave, Pauls Valley, OK 73075-0001 2016-09-01
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Competitor

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City ENID
Zip Code 73703

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Dataset Information

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.

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