JEFFERSON COUNTY DIALYSIS INC


Address: 2910 Market Street, Suite 19, Pine Bluff, AR 71601-9806
Phone: 8705342233

JEFFERSON COUNTY DIALYSIS INC (NPI# 1467564369) 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) 1467564369
Entity Type Organization
Organization Name JEFFERSON COUNTY DIALYSIS INC
Other Organization Name FRESENIUS MEDICAL CARE PINE BLUFF DIALYSIS
Practice Address 2910 Market Street
Suite 19
Pine Bluff
AR 71601-9806
Practice Telephone 8705342233
Practice Fax Number 8705343630
Mailing Telephone 8705342233
Mailing Fax Number 8705343630
Enumeration Date 2006-08-31
Last Update Date 2013-04-05
Authorized Official Name MARK R FAWCETT (TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

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
Fresenius Medical Care Pine Bluff Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285746180 Jefferson County Dialysis Inc Clinic/Center 774 Jordan Dr, Monticello, AR 71655-5718 2006-08-31

Office Location

Street Address 2910 MARKET STREET
SUITE 19
City PINE BLUFF
State AR
Zip Code 71601-9806

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578162863 Kb's Adult Health Day Care Center Clinic/Center 2911 South Market Street, Pine Bluff, AR 71601 2020-10-19
1184244600 Chelsea Briggs Prosthetic/Orthotic Supplier 601 S Main St Apt 514, Pine Bluff, AR 71601 2020-04-24
1407489081 Katherine Bolden Clinic/Center 2911 East Market Street, Pine Bluff, AR 71601 2020-02-21
1851836829 Rocky Mountain Holdings, LLC Ambulance 613b Hangar Row, Pine Bluff, AR 71601 2016-12-30
1316324494 Nora Elizabeth Horton Specialist/Technologist 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 2015-04-28
1780003665 Sameer R. Shelat Internal Medicine 4125, Rhinehart Road, Pine Bluff, AR 71601 2014-04-08
1700150471 Community Empowerment Council, Inc. Social Worker 5830 Hwy 65 South, Pine Bluff, AR 71601 2012-02-28
1922243807 The Pine Bluff Group, Pllc Chiropractor 2102 S. Olive St., Pine Bluff, AR 71601 2008-12-08
1053571711 Jefferson Comprehensive Care System Inc Clinic/Center 1101 Tennssee, Pine Bluff, AR 71601 2008-06-16
1144404799 The P.a.t. (people Advocating Transition) Center Counselor 620 South Laurel, Pine Bluff, AR 71601 2007-12-18
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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
1073590923 Pine Bluff Dialysis Inc Clinic/Center 2800 W 28th Ave, Pine Bluff, AR 71603-4921 2005-12-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760092597 Fort Smith Regional Dialysis Center, LLC Clinic/Center 256 Northridge Drive E, Van Buren, AR 72956 2020-08-06
1073010518 Toltec Dialysis LLC Clinic/Center 2630 Donaghey Ave, Conway, AR 72032-0000 2018-04-11
1588102610 Matheson Dialysis LLC Clinic/Center 9022 Landers Rd Ste E, North Little Rock, AR 72117-1599 2017-02-09
1871031211 Bio-medical Applications of Mississippi, Inc. Clinic/Center 115 E Peddicord St, Dermott, AR 71638-2314 2017-02-06
1821455494 Bio-medical Applications of Mississippi, Inc. Clinic/Center 505 Saint Mary St, Lake Village, AR 71653-1722 2016-01-27
1912399601 Ozark Dialysis LLC Clinic/Center 404 Camp Rd, Pocahontas, AR 72455-1487 2015-03-04
1447640917 Fidelity Home Dialysis Corporation Clinic/Center 9421 W Markham St, Little Rock, AR 72205-2240 2015-02-04
1386053296 Arkansas Staff Assisted Hemodialysis,inc Clinic/Center 321 Terry Pond Cv, White Hall, AR 71602-8212 2014-08-05
1609291202 Little Rock Renal Services LLC Clinic/Center 1910 John Barrow Rd, Little Rock, AR 72204-1448 2014-02-19
1396178471 Renal Treatment Centers - Southeast Lp Clinic/Center 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 2013-08-13
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Competitor

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City PINE BLUFF
Zip Code 71601

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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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