ETOWAH DIALYSIS LLC (NPI# 1659830800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659830800 |
| Entity Type | Organization |
| Organization Name | ETOWAH DIALYSIS LLC |
| Other Organization Name | ST. LUKE'S MACUNGIE DIALYSIS |
| Practice Address |
2550 Route 100 Ste 2 Macungie PA 18062-0000 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6103368350 |
| Practice Fax Number | 6103368354 |
| Mailing Telephone | 6153204286 |
| Mailing Fax Number | 8665942893 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Luke's Macungie Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687413 | Etowah Dialysis LLC | Clinic/Center | 1215 E Broad St, Ste 20, Tamaqua, PA 18252-2229 | 2018-11-05 |
| 1376909515 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 200, Allentown, PA 18104-6460 | 2016-01-04 |
| 1770948838 | Etowah Dialysis LLC | Clinic/Center | 1220 3rd St, Whitehall, PA 18052-4905 | 2015-12-16 |
| 1891121166 | Etowah Dialysis LLC | Clinic/Center | 1021 Park Ave, Quakertown, PA 18951-1573 | 2013-09-18 |
| 1457787715 | Etowah Dialysis LLC | Clinic/Center | 1425 8th Ave, Bethlehem, PA 18018-2256 | 2013-09-18 |
| 1790111060 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 100, Allentown, PA 18104-6460 | 2013-09-18 |
| Street Address |
2550 ROUTE 100 STE 2 |
| City | MACUNGIE |
| State | PA |
| Zip Code | 18062-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595275 | Jesse Christopher Dugan | Chiropractor | 6690 Hauser Road, Building O Apartment 201, Macungie, PA 18062 | 2019-09-03 |
| 1710381074 | Kelly Graham Zuluaga | Speech-Language Pathologist | 4674 Berwyn Lane, Macungie, PA 18062 | 2014-10-15 |
| 1497168025 | Faith Home Health Care, Inc. | Registered Nurse | 239 Willow Street, Macungie, PA 18062 | 2014-06-11 |
| 1164793253 | Phallentz Michel | Licensed Practical Nurse | 6595 Arbordeau Lane, Macungie, PA 18062 | 2012-01-20 |
| 1982847984 | Jeremiah Edward Williams Sr. | Physical Therapy Assistant | 1718 Sprink Creek Road, Macungie, PA 18062 | 2009-04-07 |
| 1376781971 | Deanna Ligenza | Family Medicine | 6887 Sunflower Lane, Macungie, PA 18062 | 2009-02-04 |
| 1568566313 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3295 Pa Route 100, Macungie, PA 18062 | 2006-09-12 |
| 1821048349 | Arthur R Kaplan | Optometrist | 3261 Route 100, Macungie, PA 18062 | 2006-05-12 |
| 1548219736 | Desiree Nicole Mccaslin | Physical Therapist | 175 W. Main St., Macungie, PA 18062 | 2006-05-08 |
| 1194205484 | Tamatha J Urffer | Nurse Practitioner | 3760 Brookside Rd, Macungie, PA 18062 | 2018-08-16 |
| Find all providers in zip 18062 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
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| Find all providers with the same taxonomy | ||||
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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.