DIALYSIS CLINIC INC (NPI# 1710406301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710406301 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC |
| Other Organization Name | DIALYSIS CLINIC INC - SOUTHWEST MESA |
| Practice Address |
8121 Central Ave Nw Albuquerque NM 87121-2125 |
| Mailing Address |
1500 Indian School Rd Ne Albuquerque NM 87102-1646 |
| Practice Telephone | 5058361061 |
| Practice Fax Number | 5058368644 |
| Mailing Telephone | 5057241500 |
| Mailing Fax Number | 5057241526 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | MR. WILLIAM E WOOD II (PRESIDENT) |
| Authorized Official Telephone | 6153273061 |
| 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 |
|---|---|
| Dialysis Clinic Inc - Southwest Mesa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
| 1871128173 | Dialysis Clinic Inc | Clinic/Center | 1955 36th St, Sacramento, CA 95816-6634 | 2020-03-06 |
| 1417581810 | Dialysis Clinic Inc | Clinic/Center | 1400 Ne Waldo Rd, Gainesville, FL 32641-4689 | 2020-02-25 |
| 1053964569 | Dialysis Clinic Inc | Case Management | 300 Cahaba Park Cir Ste 208, Birmingham, AL 35242-5043 | 2019-07-23 |
| 1255997110 | Dialysis Clinic Inc | Clinic/Center | 222 Saint Nazaire Rd, Broussard, LA 70518-4205 | 2019-05-16 |
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1740798073 | Dialysis Clinic Inc | Clinic/Center | 173 Patty Hill Road, Caryville, TN 37714 | 2018-01-22 |
| Street Address |
8121 CENTRAL AVE NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| 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 |
|---|---|---|---|---|
| 1033634175 | Chantry Dialysis, LLC | Clinic/Center | 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 | 2017-08-10 |
| 1386016541 | Bogachiel Dialysis LLC | Clinic/Center | 5201 San Mateo Blvd Ne, Albuquerque, NM 87109-2414 | 2015-10-28 |
| 1588063143 | Albuquerque Westside, LLC | Clinic/Center | 300 Unser Blvd Nw, Albuquerque, NM 87121-1969 | 2014-08-20 |
| 1144564857 | Liberty New Mexico Partners 2, LLC | Clinic/Center | 5751 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2012-11-19 |
| 1336483221 | Liberty New Mexico Partners 1, LLC | Clinic/Center | 3810 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2012-11-16 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1275747735 | Dialysis Clinic Inc. | Clinic/Center | 905 Louisiana Blvd, Ne, Albuquerque, NM 87110-7048 | 2007-05-10 |
| 1699804807 | Unm Hospital | Clinic/Center | 2211 Lomas Blvd., Ne, Albuquerque, NM 87106-2745 | 2007-03-05 |
| 1770695678 | Bio Medical Applications of New Mexico, Inc. | Clinic/Center | 1600 Randolph Se, Albuquerque, NM 87106 | 2006-08-31 |
| 1306958202 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 11296 Lomas Blvd Ne, Albuquerque, NM 87112-5578 | 2006-08-31 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
Please comment or provide details below to improve the information on DIALYSIS CLINIC INC.
| 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.