DIALYSIS NEWCO INC (NPI# 1588947048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588947048 |
| Entity Type | Organization |
| Organization Name | DIALYSIS NEWCO INC |
| Other Organization Name | U.S. RENAL CARE SOUTH PHOENIX DIALYSIS |
| Practice Address |
4621 S Central Ave Phoenix AZ 85040-2148 |
| Mailing Address |
424 Church St Suite 1900 Nashville TN 37219-2301 |
| Practice Telephone | 6023041977 |
| Practice Fax Number | 6023041870 |
| Mailing Telephone | 6152341188 |
| Mailing Fax Number | 6152349526 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
OTC4054 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| U.S. Renal Care South Phoenix Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881075414 | Dialysis Newco Inc | Clinic/Center | 889 Kamokila Blvd, Kapolei, HI 96707-2061 | 2015-06-09 |
| 1497017495 | Dialysis Newco Inc | Clinic/Center | 94-862 Kahuailani St, Waipahu, HI 96797-3341 | 2012-06-14 |
| 1578839080 | Dialysis Newco Inc | Clinic/Center | 1612 N Texas Ave, Bryan, TX 77803-1827 | 2012-03-29 |
| 1669748190 | Dialysis Newco Inc | Clinic/Center | 5410 Indian Head Hwy, Oxon Hill, MD 20745-2021 | 2012-03-29 |
| 1881960391 | Dialysis Newco Inc | Clinic/Center | 5501 Springfield Ave, Laredo, TX 78041-3348 | 2012-03-29 |
| 1629344015 | Dialysis Newco Inc | Clinic/Center | 2227 S El Camino Real Ste B, Oceanside, CA 92054-6397 | 2012-03-29 |
| 1538443619 | Dialysis Newco Inc | Clinic/Center | 3201 3rd Ave S, Birmingham, AL 35222-1707 | 2011-10-06 |
| 1316221971 | Dialysis Newco Inc | Clinic/Center | 7502 South Padre Island Drive, Corpus Christi, TX 78412-4308 | 2011-09-30 |
| 1114200607 | Dialysis Newco Inc | Clinic/Center | 1004 Grove Rd, Suite A, Greenville, SC 29605-4602 | 2011-09-21 |
| 1881977379 | Dialysis Newco Inc | Clinic/Center | 26737 La Highway 1032, Denham Springs, LA 70726-4926 | 2011-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Dialysis Newco Inc. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Street Address |
4621 S CENTRAL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891740106 | Dsi Renal Inc | Clinic/Center | 4621 S Central Ave, Phoenix, AZ 85040-2148 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| 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 |
|---|---|---|---|---|
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| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| 1982152484 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 4901 W Mcdowell Rd Ste 120, Phoenix, AZ 85035-4160 | 2016-09-14 |
| 1528442779 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16605 N 28th Ave Ste 100, Phoenix, AZ 85053-7551 | 2015-07-17 |
| 1295070761 | Calaveras Dialysis LLC | Clinic/Center | 5115 E Thomas Rd, Ste 115, Phoenix, AZ 85018-7914 | 2012-12-10 |
| 1801050604 | Southwest Kidney-davita Dialysis Partners LLC | Clinic/Center | 3540 E Baseline Rd Ste 110, Phoenix, AZ 85042-9628 | 2008-07-11 |
| 1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
| 1891897211 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1957 W Dunlap Ave Ste 6c, Phoenix, AZ 85021-2985 | 2006-09-05 |
| 1053423954 | Bio-medical Applications of Arizona LLC | Clinic/Center | 3421 N 7th Ave, Phoenix, AZ 85013-3635 | 2006-08-31 |
| 1477665289 | Renal Dimensions, LLC | Clinic/Center | 15930 S 48th St, Suite 100, Phoenix, AZ 85048-0903 | 2006-08-31 |
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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.