BULFINCH DIALYSIS LLC (NPI# 1437417946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437417946 |
Entity Type | Organization |
Organization Name | BULFINCH DIALYSIS LLC |
Other Organization Name | LAKE HARTWELL DIALYSIS |
Practice Address |
1065 E Franklin St Hartwell GA 30643-2205 |
Mailing Address |
5200 Virginia Way 4th Floor - L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 7063763285 |
Practice Fax Number | 7063761674 |
Mailing Telephone | 6153204286 |
Mailing Fax Number | 8665942893 |
Enumeration Date | 2012-05-03 |
Last Update Date | 2013-04-10 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2532809501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
ESRD000713 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | CLIA | 11D2041441 | 01 |
GA | 003127316A | 05 |
Other Name | Type Code |
---|---|
Lake Hartwell Dialysis | Doing Business As Name - Organization |
Street Address |
1065 E FRANKLIN ST |
City | HARTWELL |
State | GA |
Zip Code | 30643-2205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043680747 | Total Renal Care Inc | Clinic/Center | 1065 E Franklin St, Hartwell, GA 30643-2205 | 2015-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801101241 | Teresa Terri D Wofford | Speech-Language Pathologist | 456 Tuscarora Tr., Hartwell, GA 30643 | 2010-08-10 |
1982784583 | Lee Dental Group PC | Dentist | 30 Chandler Center, Hartwell, GA 30643 | 2006-10-17 |
1518051556 | Eugene Suarez Rodillo | General Acute Care Hospital | 111 South Webb Street, Hartwell, GA 30643 | 2006-10-03 |
1003901653 | Julia Florence Freeman | Registered Nurse | 696 Hickory Crossing Road, Hartwell, GA 30643 | 2006-10-03 |
1669565172 | Hart County Board of Health | Public Health or Welfare | 64 Reynolds Street, Hartwell, GA 30643 | 2006-10-02 |
1063506525 | Penney P Whiting | Licensed Practical Nurse | 287 Old Reed Creek Rd, Hartwell, GA 30643 | 2006-10-02 |
1508874561 | Hartwell Chiropractic Clinic | Chiropractor | 351 W Franklin St, Hartwell, GA 30643 | 2006-08-04 |
1386667152 | Wayne Martin Scott | Family Medicine | 162 Cade St, Suite D, Hartwell, GA 30643 | 2006-07-25 |
1902296213 | Anmed Health | Surgery | 28 Chandler Ctr, Hartwell, GA 30643 | 2015-01-26 |
1093064602 | Christopher Heath Seibert | Dentist | 30 Chandler Center, Hartwell, GA 30643 | 2012-08-29 |
Find all providers in zip 30643 |
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 |
---|---|---|---|---|
1710296199 | Athens Kidney Center, P.C. | Clinic/Center | 98 Arthur Street, Hartwell, GA 30643-1804 | 2010-10-01 |
1043680747 | Total Renal Care Inc | Clinic/Center | 1065 E Franklin St, Hartwell, GA 30643-2205 | 2015-10-07 |
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1083229280 | Bio- Medical Applications of Georgia, Inc. | Clinic/Center | 145 W Hendry St, Hinesville, GA 31313-3201 | 2020-09-14 |
1336759463 | Plattaz Dialysis, LLC | Clinic/Center | 100 Promenade Pkwy Ste C, Fayetteville, GA 30214-7735 | 2020-08-04 |
1174140743 | Home Dialysis Services Norcross LLC | Clinic/Center | 3780 Holcomb Bridge Rd Ste E, Norcross, GA 30092-4877 | 2020-06-30 |
1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
1598389132 | Concerto Georgia LLC | Clinic/Center | 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 | 2020-05-29 |
1629607098 | Rutledge Dialysis, LLC | Clinic/Center | 1719 New Hope Rd, Lawrenceville, GA 30045-6570 | 2020-04-07 |
1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
1659915882 | Filmore Dialysis, LLC | Clinic/Center | 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 | 2019-10-31 |
1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
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.