COLLOM & CARNEY CLINIC ASSOCIATION (NPI# 1578545539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578545539 |
| Entity Type | Organization |
| Organization Name | COLLOM & CARNEY CLINIC ASSOCIATION |
| Other Organization Name | NORTHEAST TEXAS DIALYSIS UNIT |
| Practice Address |
606 Loop 59 Atlanta TX 75551-1510 |
| Mailing Address |
4800 Texas Blvd Texarkana TX 75503-3033 |
| Practice Telephone | 9036143601 |
| Practice Fax Number | 9037920951 |
| Mailing Telephone | 9036143600 |
| Mailing Fax Number | 9037920951 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | MS. PAT ROBERTS (ADMINISTRATOR) |
| Authorized Official Telephone | 9036143601 |
| 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 |
000189 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 087889401 | 05 | |
| OK | 100702210C | 05 | |
| AR | 149926734 | 05 |
| Other Name | Type Code |
|---|---|
| Northeast Texas Dialysis Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871523480 | Collom & Carney Clinic Association | Clinic/Center | 816 East St., Texarkana, AR 71854 | 2006-07-03 |
| 1992787956 | Collom & Carney Clinic Association | Clinic/Center | 4800 Texas Blvd, Texarkana, TX 75503-3033 | 2005-11-16 |
| 1609858679 | Collom & Carney Clinic Association | Clinic/Center | 1803 S Laurel St, Hope, AR 71801-8219 | 2005-11-16 |
| 1134101108 | Collom & Carney Clinic Association | Clinic/Center | 225 N. Dudney Rd, Magnolia, AR 71753-3110 | 2005-11-16 |
| 1013252279 | Collom & Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2012-11-29 |
| 1225384977 | Collom & Carney Clinic Association | Internal Medicine | 2014 Galleria Oaks Dr, Texarkana, TX 75503-4620 | 2012-07-31 |
| 1629378963 | Collom & Carney Clinic Association | Family Medicine | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2010-11-02 |
| 1235454828 | Collom & Carney Clinic Association | Clinic/Center | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2010-04-07 |
| 1619291010 | Collom & Carney Clinic Association | Family Medicine | 815 N Kings Hwy, Wake Village, TX 75501-5700 | 2010-03-15 |
| 1447574843 | Collom & Carney Clinic Association | Family Medicine | 2931 Richmond Rd, Texarkana, TX 75503-2125 | 2010-03-15 |
| Street Address |
606 LOOP 59 |
| City | ATLANTA |
| State | TX |
| Zip Code | 75551-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1689154759 | Bobbye Francene Rankin | Physical Therapy Assistant | 109 Cr 3544, Atlanta, TX 75551 | 2018-08-18 |
| 1447668538 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1104 S. William Street, Atlanta, TX 75551 | 2014-08-01 |
| 1912176983 | Glenna B Frost | Speech-Language Pathologist | 1001 West Main Street, Atlanta, TX 75551 | 2008-02-25 |
| 1043438823 | Shelia Kaye Langbartels | Optometrist | 201 Hwy. 59 South, Atlanta, TX 75551 | 2007-04-24 |
| 1598838583 | Tim C Hogan | Dentist | 402 S William St, Hogan Dental Clinic, Atlanta, TX 75551 | 2006-11-16 |
| 1003991290 | Jimmy Glenn Stillwell | Nurse Anesthetist, Certified Registered | 1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 | 2006-10-26 |
| 1336248376 | Miles Drug Company | Pharmacist | 122 N East St, Atlanta, TX 75551 | 2006-09-22 |
| 1417050667 | Danny Warren Addington | Dentist | 307 East Hiram, Atlanta, TX 75551 | 2006-09-06 |
| 1912917899 | Atlanta Nursing Homes Inc. | Skilled Nursing Facility | 200 Live Oak, Atlanta, TX 75551 | 2006-08-09 |
| Find all providers in zip 75551 | ||||
| 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 |
|---|---|---|---|---|
| 1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
| 1619475217 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1149 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2018-01-29 |
| 1114463601 | Total Renal Care Inc | Clinic/Center | 2045 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-4701 | 2017-01-09 |
| 1477985992 | Emory Dialysis, LLC | Clinic/Center | 5673 Peachtree Dunwoody Rd, Ne, Suite 501, Atlanta, GA 30342 | 2013-08-07 |
| 1558709816 | Total Renal Care Inc | Clinic/Center | 2540 Flat Shoals Rd, Atlanta, GA 30349-4314 | 2013-06-10 |
| 1295005742 | Total Renal Care Inc | Clinic/Center | 540 Central Ave Sw, Atlanta, GA 30312-2735 | 2011-12-30 |
| 1821367830 | Total Renal Care Inc | Clinic/Center | 413b Loop 59, Atlanta, TX 75551-2015 | 2011-12-20 |
| 1013142843 | Emory Dialysis, LLC | Clinic/Center | 610 Northside Dr Nw, Atlanta, GA 30318-6927 | 2009-05-22 |
| 1851594329 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 3651 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2007-06-11 |
| 1417016551 | South Fulton Dialysis Center LLC | Clinic/Center | 3268 Greenbriar Pkwy Sw, Atlanta, GA 30331-2604 | 2006-12-06 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on COLLOM & CARNEY CLINIC ASSOCIATION.
| 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.