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).
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 |
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 |
---|---|---|---|
OK | 200770970A | 05 |
Other Name | Type Code |
---|---|
Garfield County Dialysis | Doing Business As Name - Organization |
Street Address |
204 S VAN BUREN ST |
City | ENID |
State | OK |
Zip Code | 73703-5812 |
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 |
Find all providers in zip 73703 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
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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.