DIALYSIS CLINIC INC. (NPI# 1497788871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497788871 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC. |
| Practice Address |
544 S Mcdonough St Montgomery AL 36104-4614 |
| Practice Telephone | 3342659190 |
| Practice Fax Number | 3342414339 |
| Mailing Telephone | 3342659190 |
| Mailing Fax Number | 3342414339 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | MR. WILLIAM E. WOOD II (PRESIDENT) |
| Authorized Official Telephone | 6153273061 |
| 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 |
07979 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 62-2850498 | 05 | |
| MS | 02388758 | 05 | |
| AL | DIA2576D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1922346147 | Dialysis Clinic Inc. | Clinic/Center | 2800 W 10th St, Suite 510, Little Rock, AR 72204-2206 | 2013-01-23 |
| 1477807139 | Dialysis Clinic Inc. | Clinic/Center | 1545 Meadowview Rd, Suites 130 - 180, Sacramento, CA 95832-1081 | 2012-11-02 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
| 1174811657 | Dialysis Clinic Inc. | Clinic/Center | 176 Washington Avenue Ext, Suite 100, Albany, NY 12203-5300 | 2011-07-18 |
| 1437445293 | Dialysis Clinic Inc. | Clinic/Center | 5300 Archdale Blvd, North Charleston, SC 29418-3343 | 2011-06-21 |
| 1336443282 | Dialysis Clinic Inc. | Clinic/Center | 275 South Orchard, Ukiah, CA 95482-5016 | 2011-01-07 |
| 1518271790 | Dialysis Clinic Inc. | Clinic/Center | 822 Wild Ave., Evergreen, AL 36401-2545 | 2010-07-30 |
| 1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
| Street Address |
544 S MCDONOUGH ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36104-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464599 | Jessica Minor | Nurse Practitioner | 544 S Mcdonough St, Montgomery, AL 36104-4614 | 2020-07-14 |
| 1477111268 | Kidney and Hypertension Specialists of Alabama, Pllc | Internal Medicine | 544 S Mcdonough St, Montgomery, AL 36104-4614 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597707 | Henley Counseling LLC | Counselor | 445 Dexter Avenue, Suite 4050, Montgomery, AL 36104 | 2020-01-16 |
| 1164994489 | Cornwall Transportation LLC | Non-emergency Medical Transport (VAN) | 2 N Jackston St #605, Montgomery, AL 36104 | 2018-12-27 |
| 1093237661 | Dianna Delane Havard | Speech-Language Pathologist | 602 South Lawrence Street, Montgomery, AL 36104 | 2017-07-14 |
| 1992149884 | Marshall Eye Care | Optometrist | 241 N Court St Apt H, Montgomery, AL 36104 | 2013-04-22 |
| 1689923237 | Beryl Sabb | Counselor | 321 North Hull Street, Montgomery, AL 36104 | 2012-08-29 |
| 1033478318 | William Foster | Social Worker | 207 Montgomery Street, Suite 313, Montgomery, AL 36104 | 2012-05-08 |
| 1972877363 | William Alex Ward | Driver | 906 South Perry Street, Suite 103, Montgomery, AL 36104 | 2012-03-02 |
| 1356669915 | Seib Pharmacy | Pharmacy | 101 South Union Street, Montgomery, AL 36104 | 2010-05-06 |
| 1376797282 | Joseph Anthony Mangini | Family Medicine | 300 S Hull St, Montgomery, AL 36104 | 2008-11-05 |
| 1154572840 | State of Alabama Department of Public Health | Public Health or Welfare | 201 Monroe Street, Suite 1080, Montgomery, AL 36104 | 2008-10-01 |
| Find all providers in zip 36104 | ||||
| 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 |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1902313430 | Sapphire Community Dialysis LLC | Clinic/Center | 8149 Decker Ln, Montgomery, AL 36117-4255 | 2018-01-05 |
| 1215451612 | Physicians Choice Dialysis of Montgomery LLC | Clinic/Center | 2201 E South Blvd, Montgomery, AL 36116-2404 | 2017-07-28 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| 1992047450 | Farragut Dialysis, LLC | Clinic/Center | 2958 Dorchester Dr, Montgomery, AL 36116-3193 | 2013-03-22 |
| 1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
| 1447531686 | Bio-medical Applications of Alabama Inc. | Clinic/Center | 100 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2011-09-01 |
| 1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
| 1780796532 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 255 S Jackson St, Montgomery, AL 36104-4405 | 2006-08-31 |
| 1457463168 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 3625 Mcgehee Place Dr N, Montgomery, AL 36111-3371 | 2006-08-31 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36104 |
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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.