ISD RENAL INC


Address: 620 Mall Blvd Ste E, Dyersburg, TN 38024-1649
Phone: 7312879448

ISD RENAL INC (NPI# 1619459682) 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) 1619459682
Entity Type Organization
Organization Name ISD RENAL INC
Other Organization Name LEWIS CREEK DIALYSIS
Practice Address 620 Mall Blvd Ste E
Dyersburg
TN 38024-1649
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 7312879448
Practice Fax Number 7312879623
Mailing Telephone 6153204514
Mailing Fax Number 8665949961
Enumeration Date 2018-09-05
Last Update Date 2019-11-14
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
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/Organization Names

Other Name Type Code
Lewis Creek Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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
1538793773 Isd Renal Inc Clinic/Center 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 2020-02-26
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
1477047298 Isd Renal Inc Clinic/Center 2 Neshaminy Interplex Dr, Ste 110, Feasterville Trevose, PA 19053-6963 2018-06-15

Office Location

Street Address 620 MALL BLVD STE E
City DYERSBURG
State TN
Zip Code 38024-1649

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235760273 Alison Clement Nurse Practitioner 750 W Highway 51 Bypass, Dyersburg, TN 38024 2020-01-29
1861030652 Pagela Jobe Nurse Practitioner 750 West Highway 51 Bypass, Dyersburg, TN 38024 2019-12-12
1083184055 Whitney Young Nurse Practitioner 455 East Parkview, Dyersburg, TN 38024 2018-12-03
1518434067 Myeyedr Optometry of Tennessee, LLC Optometrist 400 Us Hwy 51 S, Dyersburg, TN 38024 2018-11-01
1225529142 Kidney Experts Pllc Internal Medicine 1575 Parr Ave # B, Dyersburg, TN 38024 2018-05-25
1407344690 Darnisha Williams Pharmacist 2650 Lake Road, Dyersburg, TN 38024 2018-04-24
1376081547 Chasidy Branch Counselor 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 2017-02-07
1548671845 Shree Ramakant Mulay Internal Medicine 1575 Parr Ave Ste B, Dyersburg, TN 38024 2014-05-08
1588904965 Selina Carol Purvis Physical Therapy Assistant 1900 Parr Avenue, Dyersburg, TN 38024 2013-02-22
1326396029 Tennessee Sleep Managment LLC Clinic/Center 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 2012-08-28
Find all providers in zip 38024

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 city

NPI Name Taxonomy Address Enumeration
1225107071 Total Renal Care Inc Clinic/Center 640 Highway 51 Bypass East, Ste C, Dyersburg, TN 38024 2006-11-07
1326001959 Dva Healthcare Renal Care Inc Clinic/Center 1575 Parr Ave, Dyersburg, TN 38024-3151 2006-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831736438 Fresenius Medical Care Cookeville, LLC Clinic/Center 117 N Hickory Ave Ste 100, Cookeville, TN 38501-2424 2019-12-03
1245872829 Pure Life Renal of Cool Springs, LLC Clinic/Center 1648 Westgate Cir Ste 100, Brentwood, TN 37027-8019 2019-10-15
1386298560 Mattapan Dialysis LLC Clinic/Center 5144 Riverdale Rd Ste 103, Memphis, TN 38141-0271 2019-07-26
1114480761 Avail Southeast Kidney Care LLC Clinic/Center 2008 Brookside Dr Ste 100, Kingsport, TN 37660-4640 2019-04-10
1609337161 Dialysis Clinic Inc Clinic/Center 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 2019-03-27
1972062669 Dialyze Direct Tn, LLC Clinic/Center 2600 Thousand Oaks Blvd Ste 1400, Memphis, TN 38118-2401 2019-03-13
1336610757 Fresenius Medical Care Columbia Franklin, LLC Clinic/Center 8048 Station Hill Drive, Spring Hill, TN 37174 2018-12-11
1770052888 Bio-medical Applications of Tennessee, Inc. Clinic/Center 6085 Arbury Way, Ooltewah, TN 37363 2018-11-19
1164907929 Fresenius Medical Care Sandy River, LLC Clinic/Center 57 Commerce St, Paris, TN 38242-4917 2018-09-27
1003390469 Isd Renal Inc Clinic/Center 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 2018-09-21
Find all providers with the same taxonomy

Competitor

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City DYERSBURG
Zip Code 38024

Improve Information

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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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