ISD RENAL INC (NPI# 1538793773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538793773 |
Entity Type | Organization |
Organization Name | ISD RENAL INC |
Practice Address |
2317 Memorial Pkwy Sw Ste 105 Huntsville AL 35801-5623 |
Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
Practice Telephone | 6152383136 |
Mailing Telephone | 6152383136 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |
Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
Is Organization Subpart | Y |
Parent Organization Name | DAVITA INC |
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 Name | Type Code |
---|---|
Huntsville Metro Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
1245891670 | Isd Renal Inc | Clinic/Center | 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 | 2019-06-26 |
1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
1619459682 | Isd Renal Inc | Clinic/Center | 620 Mall Blvd Ste E, Dyersburg, TN 38024-1649 | 2018-09-05 |
1477047298 | Isd Renal Inc | Clinic/Center | 2 Neshaminy Interplex Dr, Ste 110, Feasterville Trevose, PA 19053-6963 | 2018-06-15 |
Street Address |
2317 MEMORIAL PKWY SW STE 105 |
City | HUNTSVILLE |
State | AL |
Zip Code | 35801-5623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
Find all providers in zip 35801 |
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 |
---|---|---|---|---|
1174065056 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 8000 Charlotte Dr Sw, Huntsville, AL 35802-4533 | 2016-11-09 |
1114225737 | Fms Endeavour Dialysis Center, LLC | Clinic/Center | 1675 Sparkman Dr Nw, Huntsville, AL 35816-1113 | 2011-03-06 |
1306948708 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1131 Eagletree Ln Sw Ste 100, Huntsville, AL 35801-6496 | 2006-09-05 |
1518069939 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1311 Memorial Pkwy Nw Ste 200, Huntsville, AL 35801-5947 | 2006-09-05 |
1336251149 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1849 Keats Dr Nw, Huntsville, AL 35810-4464 | 2006-08-31 |
1588776314 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2325 Pansy St Sw Ste C, Huntsville, AL 35801-3827 | 2006-08-31 |
1437261245 | Bio-medical Applications of Alabama Inc. | Clinic/Center | 1311 Memorial Pkwy Nw Ste 100, Huntsville, AL 35801-5943 | 2006-08-31 |
1851354666 | Dva Renal Healthcare Inc | Clinic/Center | 521 Ih 45 S, Ste 20, Huntsville, TX 77340 | 2006-04-11 |
1609290329 | Ldhv, LLC | Clinic/Center | 540 Interstate 45 S, Suite A, Huntsville, TX 77340-5720 | 2014-02-17 |
1780933762 | Fresenius Medical Care Huntsville Home, LLC | Clinic/Center | 2325 Pansy St Sw, Huntsville, AL 35801-3834 | 2012-09-05 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35801 |
Please comment or provide details below to improve the information on ISD RENAL INC.
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.