BASTROP DIALYSIS LLC (NPI# 1720322571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720322571 |
| Entity Type | Organization |
| Organization Name | BASTROP DIALYSIS LLC |
| Other Organization Name | UPPER VALLEY KIDNEY CENTER |
| Practice Address |
3190 N County Road 25a Troy OH 45373-1337 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9373323733 |
| Practice Fax Number | 9373323794 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2012-11-18 |
| Last Update Date | 2019-10-21 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0088867 | 05 |
| Other Name | Type Code |
|---|---|
| Upper Valley Kidney Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902140122 | Bastrop Dialysis LLC | Clinic/Center | 1431 Business Center Ct, Dayton, OH 45410-3300 | 2012-11-15 |
| 1508100777 | Bastrop Dialysis LLC | Clinic/Center | 1111 Sweitzer St, Ste B, Greenville, OH 45331-1189 | 2012-11-12 |
| 1023352291 | Bastrop Dialysis LLC | Clinic/Center | 90 Commercial Way, Springboro, OH 45066-3080 | 2012-11-12 |
| 1114261393 | Bastrop Dialysis LLC | Clinic/Center | 455 Turner Rd, Ste A, Dayton, OH 45415-3630 | 2012-11-12 |
| 1922342187 | Bastrop Dialysis LLC | Clinic/Center | 1431 Business Center Ct, Dayton, OH 45410-3300 | 2012-11-12 |
| Street Address |
3190 N COUNTY ROAD 25A |
| City | TROY |
| State | OH |
| Zip Code | 45373-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| 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 |
|---|---|---|---|---|
| 1508354754 | New York Dialysis Services Inc | Clinic/Center | 16 N Greenbush Rd, Troy, NY 12180-8327 | 2018-04-24 |
| 1346342532 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 9 Lincoln Ctr, Unit A, Troy, MO 63379-1456 | 2006-09-01 |
| 1407968258 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 606 Botts Ave, Troy, AL 36081-3802 | 2006-08-31 |
| 1285654673 | Henry Ford Health System | Clinic/Center | 2050 Livernois Rd, Troy, MI 48083-1757 | 2006-07-20 |
| 1386605772 | Hortense & Louis Rubin Dialysis Center, Inc. | Clinic/Center | 1850 Peoples Ave, Troy, NY 12180-3607 | 2006-03-28 |
| 1366074874 | Freedom Center of Troy, LLC | Clinic/Center | 16 N Greenbush Rd, Troy, NY 12180-8579 | 2020-02-12 |
| 1295134617 | Dialysis Clinic Inc | Clinic/Center | 1850 Peoples Ave, Troy, NY 12180-3607 | 2014-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744616 | Akron Renal Care Group, LLC | Clinic/Center | 2583 Center Rd, Hinckley, OH 44233-9561 | 2020-09-11 |
| 1366057747 | Akron Renal Care Group, LLC | Clinic/Center | 9200 Staples Dr Ste A, Streetsboro, OH 44241-3950 | 2020-09-11 |
| 1518570886 | Independent Dialysis Group Northeast Ohio LLC | Clinic/Center | 48444 Bell School Rd Ste 4, Calcutta, OH 43920-9646 | 2020-08-26 |
| 1871106401 | Akron Renal Care Group, LLC | Clinic/Center | 401 Devon Pl Ste 100, Kent, OH 44240-6481 | 2020-08-24 |
| 1558985663 | Wyandot Dialysis Clinic LLC | Clinic/Center | 1207 E Wyandot Ave, Upper Sandusky, OH 43351-9647 | 2020-06-04 |
| 1245854876 | Concerto Ohio LLC | Clinic/Center | 2111 S Green Rd, South Euclid, OH 44121-3350 | 2020-05-29 |
| 1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
| 1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1912554486 | Usrc Tiffin, LLC | Clinic/Center | 100 Shaffer Park Dr Ste A, Tiffin, OH 44883-8536 | 2019-08-20 |
| 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.