DIALYSIS CLINIC INC.


Address: 1912 Cherry St., Montgomery, AL 36107-2607
Phone: 3342641060

DIALYSIS CLINIC INC. (NPI# 1710200274) 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) 1710200274
Entity Type Organization
Organization Name DIALYSIS CLINIC INC.
Practice Address 1912 Cherry St.
Montgomery
AL 36107-2607
Mailing Address 544 S Mcdonough St
Montgomery
AL 36104-4614
Practice Telephone 3342641060
Practice Fax Number 3342650036
Mailing Telephone 3342659190
Mailing Fax Number 3342414339
Enumeration Date 2010-03-11
Last Update Date 2019-07-15
Authorized Official Name 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
AL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AL 124532 05
AL STATE LICENSE S5107 01

Other Provider IDs and Locations

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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
1538312434 Dialysis Clinic Inc. Clinic/Center 1530 S Lafayette St, Shelby, NC 28152-7155 2008-10-23

Office Location

Street Address 1912 CHERRY ST.
City MONTGOMERY
State AL
Zip Code 36107-2607

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720696701 Heart2heart Transportation,llc Non-emergency Medical Transport (VAN) 2507 Madison Avenue, Montgomery, AL 36107 2020-07-16
1538638168 Lifeline By B&v LLC Adult Companion 1460 Ann St Ste F, Montgomery, AL 36107 2018-11-13
1558545640 Sheri R Stewart Physical Therapist 310 North Madison Terrace, Montgomery, AL 36107 2007-12-26
1619190998 State of Alabama Dept of Mental Health & Mental Retardation Psychiatric Hospital 2140 Upper Wetumpka Road, Montgomery, AL 36107 2007-04-11
1275615601 Wal-mart Stores East, Lp Technician/Technologist 851 Ann St., Montgomery, AL 36107 2006-10-19
1184736134 Boatnerwerks Pharmacy 1751 Upper Wetumpka Road, Montgomery, AL 36107 2006-08-31
1518217876 Nakeetsha Dryer Nurse Practitioner 2140 Upper Wetumpka Rd, Montgomery, AL 36107 2012-09-13
1053535294 Helen J Thompson Psychologist 2140 Upper Wetumpka Road, Montomgery, AL 36107 2007-04-12
1295871556 Evelyn Simpkins Evans Pediatrics Health Services, Inc, 1845 Cherry Street, Montgomery, AL 36107-0365 2007-01-30
1427521962 Health Services, Inc Family Medicine 2801 Willena Ave, Montgomery, AL 36107-1055 2019-01-08
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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 city

NPI Name Taxonomy Address Enumeration
1689176711 Renal Treatment Centers Southeast Lp Clinic/Center 1510 Eastern Blvd, Montgomery, AL 36117-1629 2018-03-05
1902313430 Sapphire Community Dialysis LLC Clinic/Center 8149 Decker Ln, Montgomery, AL 36117-4255 2018-01-05
1215451612 Physicians Choice Dialysis of Montgomery LLC Clinic/Center 2201 E South Blvd, Montgomery, AL 36116-2404 2017-07-28
1437525714 Bio-medical Applications of West Virginia, Inc. Clinic/Center 506 3rd Ave, Montgomery, WV 25136-2102 2015-08-20
1992047450 Farragut Dialysis, LLC Clinic/Center 2958 Dorchester Dr, Montgomery, AL 36116-3193 2013-03-22
1548527252 Dialysis Clinic Inc. Clinic/Center 29 Mitylene Park Lane, Montgomery, AL 36117-7303 2012-04-19
1447531686 Bio-medical Applications of Alabama Inc. Clinic/Center 100 Mitylene Park Ln, Montgomery, AL 36117-3758 2011-09-01
1780796532 Bio-medical Applications of Alabama, Inc. Clinic/Center 255 S Jackson St, Montgomery, AL 36104-4405 2006-08-31
1457463168 Bio-medical Applications of Alabama, Inc. Clinic/Center 3625 Mcgehee Place Dr N, Montgomery, AL 36111-3371 2006-08-31
1497788871 Dialysis Clinic Inc. Clinic/Center 544 S Mcdonough St, Montgomery, AL 36104-4614 2006-07-08
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Competitor

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City MONTGOMERY
Zip Code 36107

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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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