GREATER IRVING I REGIONAL DIALYSIS CENTER LLC


Address: 1950 Ne Green Oaks Blvd, Suite 190, Arlington, TX 76006-3287
Phone: 8174600510

GREATER IRVING I REGIONAL DIALYSIS CENTER LLC (NPI# 1427414630) 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) 1427414630
Entity Type Organization
Organization Name GREATER IRVING I REGIONAL DIALYSIS CENTER LLC
Other Organization Name GREEN OAKS DIALYSIS CENTER
Practice Address 1950 Ne Green Oaks Blvd
Suite 190
Arlington
TX 76006-3287
Practice Telephone 8174600510
Mailing Telephone 8174600510
Enumeration Date 2016-01-05
Last Update Date 2020-03-12
Authorized Official Name SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY)
Authorized Official Telephone 9789223080
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/Organization Names

Other Name Type Code
GREEN OAKS DIALYSIS CENTER Doing Business As Name - Organization

Office Location

Street Address 1950 NE GREEN OAKS BLVD
SUITE 190
City ARLINGTON
State TX
Zip Code 76006-3287

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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...

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1144614942 Taum Dialysis LLC Clinic/Center 1001 W Arbrook Blvd, Ste 101 & 111, Arlington, TX 76015-4222 2015-03-19
1922373554 Clayton Dialysis LLC Clinic/Center 642 Lincoln Sq, Arlington, TX 76011-4896 2012-03-15
1386764009 Puget Sound Kidney Centers Clinic/Center 18828 Smokey Point Blvd, Arlington, WA 98223-8266 2007-03-29
1538201850 Purificare Dialysis LLC Clinic/Center 801 Avenue H E Ste 110, Arlington, TX 76011-7701 2007-02-13
1801995584 Ameri-tech Kidney Center Clinic/Center 1138 S Bowen Rd, Arlington, TX 76013-2204 2006-09-21
1942256466 Usrc Tarrant Lp Clinic/Center 203 W Randol Mill Rd, Arlington, TX 76011-5857 2006-05-26
1477517738 Dva Healthcare Renal Care, Inc. Clinic/Center 4805 1st St N, Arlington, VA 22203-2603 2006-04-13
1073576245 Dallas Fort Worth Nephrology Lp Clinic/Center 1250 E Pioneer Pkwy, Ste 700, Arlington, TX 76010-6423 2006-04-10
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Competitor

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City ARLINGTON
Zip Code 76006

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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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