DCA OF SELINSGROVE LLC (NPI# 1821122128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821122128 |
| Entity Type | Organization |
| Organization Name | DCA OF SELINSGROVE LLC |
| Other Organization Name | U S RENAL CARE SELINSGROVE DIALYSIS |
| Practice Address |
21 Susquehanna Valley Mall Drive Selinsgrove PA 17870-9147 |
| Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
| Practice Telephone | 5703745577 |
| Practice Fax Number | 5703745570 |
| Mailing Telephone | 2147362700 |
| Mailing Fax Number | 2147362701 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | MR. THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U S RENAL CARE INC |
| 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 |
|---|---|
| U S Renal Care Selinsgrove Dialysis | Doing Business As Name - Organization |
| Street Address |
21 SUSQUEHANNA VALLEY MALL DRIVE |
| City | SELINSGROVE |
| State | PA |
| Zip Code | 17870-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558303016 | Old Trail Imaging, LLC | Internal Medicine | 21 Susquehanna Valley Mall Drive, Selinsgrove, PA 17870-8409 | 2006-06-11 |
| 1295956498 | Sun Orthopaedic Group | Durable Medical Equipment & Medical Supplies | 21 Susquehanna Valley Mall Drive, Selinsgrove, PA 17801 | 2007-05-02 |
| 1023110459 | Divine Providence Hospital of The Sisters of Christian Charity | Clinic/Center | 21 Susquehanna Valley Mall Drive, Suite D, Selinsgrove, PA 17870 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423565 | Mark Douglas Sanders | Optometrist | 217 Sweet Gum Road, Selinsgrove, PA 17870 | 2019-02-14 |
| 1700298767 | Jagdeep Goraya | Dentist | 2192 N Susquehanna Trail, Selinsgrove, PA 17870 | 2014-05-27 |
| 1750680880 | Bayada Home Health Care, Inc. | Home Health | 8 West Snyder Street, Selinsgrove, PA 17870 | 2011-03-15 |
| 1275850620 | Geisinger Medical Center | General Acute Care Hospital | 620 University Avenue, Selinsgrove, PA 17870 | 2010-04-26 |
| 1023253275 | Gregory Reese D.c | Chiropractor | 1372 N. Susq. Trl. Ste. 120, Selinsgrove, PA 17870 | 2008-12-02 |
| 1639349897 | Semian Surgical Associates LLC | Clinic/Center | One Commerce Avenue, Selinsgrove, PA 17870 | 2008-03-04 |
| 1225250376 | Grayson Selinsgrove Limited Partnership | Assisted Living Facility | 29 Grayson View Court, Selinsgrove, PA 17870 | 2007-05-02 |
| 1225166234 | Darla R. Miller, Dpm | Podiatrist | 1018 N Susquehanna Trail, Selinsgrove, PA 17870 | 2007-03-01 |
| 1578627626 | Susquehanna Valley Foot and Ankle Center, Inc | Podiatrist | 1018 North Susquehanna Trail, Selinsgrove, PA 17870 | 2006-12-21 |
| 1447319355 | Vision Max | Optometrist | 1026 N Susquehanna Trail, Selinsgrove, PA 17870 | 2006-12-06 |
| Find all providers in zip 17870 | ||||
| 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 |
|---|---|---|---|---|
| 1649232315 | Dva Healthcare Renal Care Inc | Clinic/Center | 1030 N Susquehanna Trl, Selinsgrove, PA 17870-7767 | 2006-04-06 |
| 1023110459 | Divine Providence Hospital of The Sisters of Christian Charity | Clinic/Center | 21 Susquehanna Valley Mall Drive, Suite D, Selinsgrove, PA 17870 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 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 | SELINSGROVE |
| Zip Code | 17870 |
Please comment or provide details below to improve the information on DCA OF SELINSGROVE LLC.
| 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.