BASTROP DIALYSIS LLC (NPI# 1508100777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508100777 |
Entity Type | Organization |
Organization Name | BASTROP DIALYSIS LLC |
Other Organization Name | DARKE COUNTY DIALYSIS |
Practice Address |
1111 Sweitzer St Ste B Greenville OH 45331-1189 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 9375487019 |
Practice Fax Number | 9375486519 |
Mailing Telephone | 6152383051 |
Mailing Fax Number | 8002468346 |
Enumeration Date | 2012-11-12 |
Last Update Date | 2020-09-01 |
Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
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 |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0087280 | 05 |
Other Name | Type Code |
---|---|
Darke County Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720322571 | Bastrop Dialysis LLC | Clinic/Center | 3190 N County Road 25a, Troy, OH 45373-1337 | 2012-11-18 |
1902140122 | Bastrop Dialysis LLC | Clinic/Center | 1431 Business Center Ct, Dayton, OH 45410-3300 | 2012-11-15 |
1023352291 | Bastrop Dialysis LLC | Clinic/Center | 90 Commercial Way, Springboro, OH 45066-3080 | 2012-11-12 |
1114261393 | Bastrop Dialysis LLC | Clinic/Center | 455 Turner Rd, Ste A, Dayton, OH 45415-3630 | 2012-11-12 |
1922342187 | Bastrop Dialysis LLC | Clinic/Center | 1431 Business Center Ct, Dayton, OH 45410-3300 | 2012-11-12 |
Street Address |
1111 SWEITZER ST STE B |
City | GREENVILLE |
State | OH |
Zip Code | 45331-1189 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063414712 | David Kinnaird Johnson | Physical Medicine & Rehabilitation | 1111 Sweitzer St, Greenville, OH 45331-1189 | 2005-08-12 |
1891137147 | Compunet Clinical Laboratories, LLC | Clinical Medical Laboratory | 1111 Sweitzer St, Greenville, OH 45331-1189 | 2013-07-26 |
1790122802 | Bradon Thomas Boeckman | Specialist/Technologist | 1111 Sweitzer St, Greenville, OH 45331-1189 | 2013-05-30 |
1033300215 | Praveena Cheruvu | Internal Medicine | 1111 Sweitzer St, Suite C, Greenville, OH 45331 | 2007-08-05 |
1679555932 | Dialysis Centers of Dayton, LLC | Clinic/Center | 1111 Sweitzer St, Suite B, Greenville, OH 45331-1189 | 2005-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467960195 | Karen Droesch | Dietitian, Registered | 835 Sweitzer Street, Greenville, OH 45331 | 2018-01-16 |
1679002745 | Maria C Muhlenkamp | Nurse Practitioner | 1101 Jackson St., Suite B, Bethel Cardiology, Greenville, OH 45331 | 2017-06-12 |
1457803447 | Ginger Aldora | Counselor | 600 Walnut Street, Greenville, OH 45331 | 2016-10-26 |
1649631664 | Danielle D Mckenzie | Social Worker | 1101 Jackson St Ste C, Greenville, OH 45331 | 2016-03-18 |
1811354426 | Lonnie Smith | Social Worker | 1199 E. Russ Rd, Apt/ E-1, Greenville, OH 45331 | 2016-01-27 |
1851795496 | Rhonda Fields | Social Worker | 212 S. Main Street, Greenville, OH 45331 | 2014-10-10 |
1205136504 | Michelle Marie Dickey | Physical Therapy Assistant | 5162 Children's Home Bradford Rd., Amedisys Home Health Care, Greenville, OH 45331 | 2010-11-02 |
1386960870 | Matthew David Painting | Podiatrist | 415 West Russ Road, Greenville, OH 45331 | 2010-04-09 |
1487892337 | Ina J. Lilly | Licensed Practical Nurse | 1001 Donald Dr., Greenville, OH 45331 | 2009-01-30 |
1285821595 | Assisted Living Concepts Inc | Assisted Living Facility | 1275 Northview Drive, Greenville, OH 45331 | 2007-10-01 |
Find all providers in zip 45331 |
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 |
---|---|---|---|---|
1215404629 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 4309 Ridgecrest Rd Ste 100, Greenville, TX 75402-6003 | 2018-10-24 |
1710460548 | Hunt County Regional Dialysis Center LLC | Clinic/Center | 3301 Ridgecrest Rd Ste 1, Greenville, TX 75402-6251 | 2018-09-07 |
1114290368 | Greenville Dialysis Clinic LLC | Clinic/Center | 220 Howe St, Suite 220a, Greenville, SC 29601-3524 | 2012-02-20 |
1114200607 | Dialysis Newco Inc | Clinic/Center | 1004 Grove Rd, Suite A, Greenville, SC 29605-4602 | 2011-09-21 |
1639470222 | Dsi Greenville, LLC | Clinic/Center | 110 Chalmers Rd, Suite D, Greenville, SC 29605-1351 | 2010-11-12 |
1710205802 | Total Renal Care Inc | Clinic/Center | 297 Pete Hollis Blvd, Greenville, SC 29601-1143 | 2010-05-13 |
1912177072 | Greenville Dialysis Partners, Lp | Clinic/Center | 4309 Ridgecrest Road, Suite 100, Greenville, TX 75402-6004 | 2008-03-05 |
1285746008 | Rcg University Division, Inc. | Clinic/Center | 605 S Academy St, Greenville, SC 29601-2407 | 2006-08-31 |
1093827842 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 350 Paul Stabler Dr, Greenville, AL 36037-3128 | 2006-08-31 |
1306958152 | Rcg Mississippi, Inc. | Clinic/Center | 2001 Medical Park Dr, Greenville, MS 38703-7220 | 2006-08-31 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 45331 |
Please comment or provide details below to improve the information on BASTROP DIALYSIS LLC.
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.