DIALYSIS CLINIC INC.


Address: 600 Rankin Mill Ln, Boonville, MO 65233
Phone: 6608822466

DIALYSIS CLINIC INC. (NPI# 1588697965) 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) 1588697965
Entity Type Organization
Organization Name DIALYSIS CLINIC INC.
Practice Address 600 Rankin Mill Ln
Boonville
MO 65233
Mailing Address 16895 Rankin Mill Ln
Boonville
MO 65233-2827
Practice Telephone 6608822466
Practice Fax Number 6608825025
Mailing Telephone 6608822466
Mailing Fax Number 6608825025
Enumeration Date 2006-07-08
Last Update Date 2020-01-24
Authorized Official Name MR. WILLIAM E. WOOD II (PRESIDENT)
Authorized Official Telephone 6153273061
Is Organization Subpart N

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 Identifier

State Issuer Identifier Type Code
MO 502149313 05

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities DIALYSIS CLINIC INC 1633 Church St., Ste 500, Nashville, TN 37203

Office Location

Street Address 600 RANKIN MILL LN
City BOONVILLE
State MO
Zip Code 65233

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750788022 Aneisa Lynn Sherrill-mattox Social Worker 413 E Spring Street, Boonville, MO 65233 2014-12-02
1427216555 Boonville Residential LLC Assisted Living Facility 600 Rankin Mill Lane, Boonville, MO 65233 2008-05-27
1851593479 Cooper County Ambulance District Ambulance 17651 B Highway, Boonville, MO 65233 2007-06-05
1538181409 Dancing Horizon Health Foundation, Inc. Family Medicine 2400 Boonslick Drive, Boonville, MO 65233 2006-07-23
1295767275 Boonville No 1 Inc Skilled Nursing Facility 1450 W Ashley Rd, Boonville, MO 65233 2006-07-07
1730178864 Pinnacle Regional Hospital, LLC General Acute Care Hospital 17651 B Hwy, Boonville, MO 65233 2005-10-20
1710477187 Ashlyn Elizabeth Sappington Dental Hygienist 1115 Main St, Boonville, MO 65233 2018-05-11
1083825988 Harold K Hombs Dentist 1115 Main, Boonville, MO 65233 2007-05-24
1548480601 Pinnacle Regional Hospital, LLC Medicare Defined Swing Bed Unit 17651 B Hwy, Boonville, MO 65233 2007-04-30
1154454551 Pinnacle Regional Hospital,llc Clinic/Center 17601 B Hwy, Boonville, MO 65233 2007-03-14
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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 state

NPI Name Taxonomy Address Enumeration
1336748110 Westbrook Dialysis, LLC Clinic/Center 140 West Drive, Cape Girardeau, MO 63701 2020-10-22
1902415284 Fresenius Medical Care Creve Coeur Home Therapies, LLC Clinic/Center 450 N New Ballas Rd Ste 170, Creve Coeur, MO 63141-6835 2020-07-23
1730716085 Fresenius Medical Care Creve Coeur, LLC Clinic/Center 450 North New Bassas Road, Suite 180, Creve Coeur, MO 63141-6835 2020-03-26
1285109041 Branson Kidney Center LLC Clinic/Center 17829 Bus 13, Branson West, MO 65737 2018-10-09
1790271864 Dialysis Clinic Inc Clinic/Center 3101 W Broadway Ste 115, Columbia, MO 65203-0496 2018-07-02
1033602990 Lantell Dialysis LLC Clinic/Center 8608 E 63rd St, Kansas City, MO 64133-4725 2018-06-14
1851892731 Sparda Dialysis LLC Clinic/Center 40 Walters Pl, House Springs, MO 63051-1491 2018-02-26
1063923753 Isd Renal Inc Clinic/Center 1702 E 10th St Ste C, Rolla, MO 65401-4600 2017-10-20
1063923977 Total Renal Care Inc Clinic/Center 802 Jules St, St Joseph, MO 64501-1944 2017-10-18
1942710991 Washington University Clinic/Center 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 2017-10-04
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Competitor

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City BOONVILLE
Zip Code 65233

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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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