CHIPPEWA DIALYSIS SERVICES (NPI# 1790830859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790830859 |
Entity Type | Organization |
Organization Name | CHIPPEWA DIALYSIS SERVICES |
Practice Address |
502 W Harrie St Newberry MI 49868-1209 |
Practice Telephone | 9066354460 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2008-08-13 |
Authorized Official Name | KEVIN KALCHEK (CFO) |
Authorized Official Telephone | 9062531009 |
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 |
502 W HARRIE ST |
City | NEWBERRY |
State | MI |
Zip Code | 49868-1209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497742050 | Helen Newberry Joy Hospital | General Acute Care Hospital | 502 W Harrie St, Newberry, MI 49868-1209 | 2005-09-29 |
1629543855 | Laura Lynn Generou | Social Worker | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-10-03 |
1780169375 | Brook Lynn Dake | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-09-28 |
1366940496 | Jacqueline Donovan | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-01-23 |
1346763398 | Daniel Netherton | Physician Assistant | 502 W Harrie St, Newberry, MI 49868-1209 | 2017-07-21 |
1912459231 | Helen Newberry Joy Hospital Pharmacy | Pharmacy | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-11-03 |
1235581356 | Indigo Hospital Medicine - Midwest, Plc | Internal Medicine | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-07-13 |
1659722163 | Laura Jeanne Everhart | Pharmacist | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-06-27 |
1174916886 | Helen Newberry Joy Hospital | Skilled Nursing Facility | 502 W Harrie St, Newberry, MI 49868-1209 | 2015-03-05 |
1023459914 | Aaron Joseph Nolan | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2013-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700119989 | Kathy Ballard Behavioral Health Services LLC | Social Worker | 405 Newberry Avenue, Newberry, MI 49868 | 2009-09-06 |
1063657286 | Up Superior Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 13534 State Highway 28, Newberry, MI 49868 | 2008-12-03 |
1447349576 | Denise Magdalene Danaher | Registered Nurse | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2006-10-12 |
1114934189 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 7293 M-123, Newberry, MI 49868 | 2006-08-02 |
1912932757 | Brian Joseph Bezotte | Social Worker | 14126 West County Road 428, Newberry, MI 49868 | 2006-07-11 |
1710944525 | Hilary S Newby | Dentist | 7793 S Newberry Ave, Newberry, MI 49868 | 2006-04-26 |
1700112141 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 405 Newberry Avenue, Room 2, Newberry, MI 49868 | 2009-10-20 |
1265561260 | Luce-mackinac Health Department | Home Health | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
1700915709 | Luce-mackinac Health Department | Hospice Care, Community Based | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
1578691242 | Luce-mackinac Health Department | Public Health or Welfare | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-02 |
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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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---|---|---|---|---|
1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
1760594592 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 2041 Medical Park Dr, Newberry, SC 29108-2249 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
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1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
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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.