GOLIAD DIALYSIS LLC


Address: 251 Lathrop Way, Ste A, Sacramento, CA 95815-4223
Phone: 9169224721

GOLIAD DIALYSIS LLC (NPI# 1427322411) 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) 1427322411
Entity Type Organization
Organization Name GOLIAD DIALYSIS LLC
Other Organization Name NORTH SACRAMENTO DIALYSIS
Practice Address 251 Lathrop Way
Ste A
Sacramento
CA 95815-4223
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 9169224721
Practice Fax Number 9169222189
Mailing Telephone 6153416793
Mailing Fax Number 8777906793
Enumeration Date 2012-03-08
Last Update Date 2020-08-25
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
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
550002055 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 1427322411 05

Other Provider/Organization Names

Other Name Type Code
North Sacramento Dialysis Doing Business As Name - Organization

Office Location

Street Address 251 LATHROP WAY
STE A
City SACRAMENTO
State CA
Zip Code 95815-4223

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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
1871128173 Dialysis Clinic Inc Clinic/Center 1955 36th St, Sacramento, CA 95816-6634 2020-03-06
1780173724 Wellbound of Emeryville LLC Clinic/Center 3 Park Center Dr Ste 120, Sacramento, CA 95825 2018-05-04
1235642950 Regents of The University of California Clinic/Center 2521 Stockton Blvd Ste 2200, Sacramento, CA 95817-2207 2017-11-16
1841741857 Landor Dialysis LLC Clinic/Center 2980 Advantage Way, Sacramento, CA 95834-9666 2016-10-14
1033584248 Lyndale Dialysis LLC Clinic/Center 4401 Mack Rd, Sacramento, CA 95823-4545 2015-12-14
1568847929 Glosser Dialysis LLC Clinic/Center 2624 Stockton Blvd, Sacramento, CA 95817-2210 2015-07-28
1477807139 Dialysis Clinic Inc. Clinic/Center 1545 Meadowview Rd, Suites 130 - 180, Sacramento, CA 95832-1081 2012-11-02
1790051761 Satellite Healthcare Inc Clinic/Center 646 N Market Blvd, Sacramento, CA 95834-1248 2012-03-23
1184906745 Rai Care Centers of Northern California I LLC Clinic/Center 4660 Mack Rd, Suite 168, Sacramento, CA 95823-8200 2011-09-09
1093030504 Griffin Dialysis LLC Clinic/Center 8243 E Stockton Blvd Ste 100, Sacramento, CA 95828-8204 2010-03-29
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Competitor

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City SACRAMENTO
Zip Code 95815

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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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