RENAL TREATMENT CENTERS ILLINOIS INC (NPI# 1730149170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730149170 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS ILLINOIS INC |
| Other Organization Name | OWENSBORO DIALYSIS CENTER |
| Practice Address |
1930 E Parrish Ave Owensboro KY 42303-1443 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 2709260120 |
| Practice Fax Number | 2706919865 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
300129 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 39000674 | 05 |
| Other Name | Type Code |
|---|---|
| Owensboro Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780062802 | Renal Treatment Centers Illinois Inc | Clinic/Center | 27150 Providence Pkwy, Ste A, Novi, MI 48374-1272 | 2015-05-08 |
| 1508243882 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6770 Dixie Hwy Ste 205, Clarkston, MI 48346-2089 | 2015-05-06 |
| 1568849826 | Renal Treatment Centers Illinois Inc | Clinic/Center | 21900 Melrose Ave Ste 4, Southfield, MI 48075-7967 | 2015-05-06 |
| 1659640522 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 S 13th St, Norfolk, NE 68701-4969 | 2011-12-22 |
| 1013294156 | Renal Treatment Centers Illinois Inc | Clinic/Center | 7454 N 30th St, Omaha, NE 68112-2722 | 2011-11-03 |
| 1760766984 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6610 S 168th St, Ste 8, Omaha, NE 68135-5412 | 2011-10-06 |
| 1558590620 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3749 Commercial Dr, Indianapolis, IN 46222-1676 | 2009-07-09 |
| 1558505636 | Renal Treatment Centers Illinois Inc | Clinic/Center | 220 10th St Sw, Waverly, IA 50677-2930 | 2009-04-21 |
| 1922269471 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3877 E Galbraith Rd, Bldg C, Cincinnati, OH 45236-1514 | 2008-06-18 |
| 1154505188 | Renal Treatment Centers Illinois Inc | Clinic/Center | 4801 Acorn Dr, Independence, OH 44131-2566 | 2007-12-27 |
| Street Address |
1930 E PARRISH AVE |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792818 | Mahendra C Maru | Internal Medicine | 1930 E Parrish Ave, Owensboro, KY 42303-1443 | 2005-07-05 |
| 1912196643 | Wanda Lynn Winkler | Clinical Nurse Specialist | 1930 E Parrish Ave, Owensboro, KY 42303-1443 | 2007-10-18 |
| 1215142401 | Imran Dosani | Internal Medicine | 1930 E Parrish Ave, Owensboro, KY 42303-1443 | 2007-05-11 |
| 1952498347 | Ohio Valley Nephrology Associates Psc | Nurse Practitioner | 1930 E Parrish Ave, Owensboro, KY 42303-1443 | 2006-10-06 |
| 1861434565 | Dhiren M Haria | Internal Medicine | 1930 E Parrish Ave, Owensboro, KY 42303-1443 | 2006-06-10 |
| 1093712952 | Mohammad Bashar Mourad | Internal Medicine | 1930 E Parrish Ave, Owensboro, KY 42303-1443 | 2005-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| 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 |
|---|---|---|---|---|
| 1053745554 | Martin Dialysis LLC | Clinic/Center | 3250 Kidron Valley Way, Owensboro, KY 42303-2398 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000232 | Fresenius Medical Care Kentuckiana Ht, LLC | Clinic/Center | 6400 Dutchmans Pkwy Ste 145, Louisville, KY 40205-3342 | 2020-10-09 |
| 1659988970 | Dialyze Direct Ky, LLC | Clinic/Center | 9780 Ormsby Station Rd Ste 1200, Louisville, KY 40223-4049 | 2020-09-30 |
| 1922637529 | Total Renal Care, Inc. | Clinic/Center | 601 Chamberlin Ave, Frankfort, KY 40601-4220 | 2020-04-06 |
| 1629602727 | Pure Life Renal of Louisville, LLC | Clinic/Center | 3935 Taylorsville Rd, Louisville, KY 40220-1455 | 2020-02-27 |
| 1407496557 | Total Renal Care, Inc. | Clinic/Center | 310n L Rogers Wells Bldv, Glasgow, KY 42141-1300 | 2020-01-07 |
| 1093213902 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1715 Gagel Ave, Louisville, KY 40216-2763 | 2018-01-25 |
| 1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
| 1811414980 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 23 A St Ste A, Louisa, KY 41230-6001 | 2017-08-29 |
| 1467978791 | Total Renal Care Inc | Clinic/Center | 737 Dishman Lane Ext, Bowling Green, KY 42104-3898 | 2017-08-18 |
| 1831615434 | Fresenius Medical Care Stanford, LLC | Clinic/Center | 29 Frontier Blvd, Stanford, KY 40484-8513 | 2017-08-16 |
| 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.