DIALYSIS CARE CENTER FULTON COUNTY LLC (NPI# 1760046064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760046064 |
Entity Type | Organization |
Organization Name | DIALYSIS CARE CENTER FULTON COUNTY LLC |
Practice Address |
214 Peach Orchard Rd Mc Connellsburg PA 17233-8559 |
Mailing Address |
Po Box 3134 Joliet IL 60434-3134 |
Practice Telephone | 7173253180 |
Mailing Telephone | 8157147171 |
Enumeration Date | 2019-04-23 |
Last Update Date | 2019-05-10 |
Authorized Official Name | MORUFU OLATUNJI ALAUSA (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8157416830 |
Authorized Official Credential | MD |
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 |
Street Address |
214 PEACH ORCHARD RD |
City | MC CONNELLSBURG |
State | PA |
Zip Code | 17233-8559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952303919 | Ronald Pluszczynski | Obstetrics & Gynecology | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2005-06-02 |
1922617117 | Gregory Franko | Emergency Medicine | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2020-07-24 |
1417503806 | Jessica Lee Potash | Speech-Language Pathologist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2019-08-13 |
1689226466 | Jenna Lee Mills | Speech-Language Pathologist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2019-07-12 |
1952869976 | Erin Jenine Pistner | Social Worker | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2019-03-08 |
1659842649 | Rachael Rupprecht | Speech-Language Pathologist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2018-12-17 |
1154800910 | Rita Dawn Sipes | Nurse Practitioner | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2018-08-12 |
1801316484 | Colleen Marie Powers | Speech-Language Pathologist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2017-06-23 |
1548790512 | Deann Laura Hawkins | Physical Therapist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2017-06-13 |
1952830051 | Andy John Fleck | Physical Therapist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2017-06-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124394655 | Amy J Whitsel | Nurse Practitioner | 114 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2012-03-29 |
1083780407 | Steven S Cohen | Family Medicine | 292 Buchanan Trail, Mcconnellsburg, PA 17233 | 2006-11-28 |
1063591238 | Svm3 Pharma Inc | Pharmacy | 182 Buchanan Trail, Suite: 150, Mcconnellsburg, PA 17233 | 2006-11-06 |
1821179615 | Joseph G Wolfe | Dentist | 214 Lincoln Way East, Mcconnellsburg, PA 17233 | 2006-10-18 |
1619951183 | Elizabeth T. Gotwals | Social Worker | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2005-11-30 |
1790300374 | Abagael Marie Peck | Physician Assistant | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2020-06-10 |
1831691625 | Jordan Alexis Kaminsky | Occupational Therapist | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2018-03-07 |
1962736934 | Fulton Behavioral Health Services PC | Psychologist | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2009-09-23 |
1801029087 | Jennifer A. Rhodes | Counselor | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2009-09-03 |
1881837177 | Summit Physician Services | Registered Nurse | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2009-04-16 |
Find all providers in zip 17233 |
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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1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
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 |
1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
Find all providers with the same taxonomy |
City | MC CONNELLSBURG |
Zip Code | 17233 |
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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.