PORTOLA DIALYSIS LLC (NPI# 1841597689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841597689 |
| Entity Type | Organization |
| Organization Name | PORTOLA DIALYSIS LLC |
| Other Organization Name | TOWN CENTER DIALYSIS |
| Practice Address |
323 N Michigan Ave Saginaw MI 48602-4240 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9897913624 |
| Practice Fax Number | 9897913841 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2020-06-23 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1841597689 | 05 |
| Other Name | Type Code |
|---|---|
| Town Center Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861947020 | Portola Dialysis LLC | Clinic/Center | 1205 N Michigan Ave, Saginaw, MI 48602-4729 | 2016-08-17 |
| Street Address |
323 N MICHIGAN AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| 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 |
|---|---|---|---|---|
| 1184080194 | Gulch Dialysis LLC | Clinic/Center | 5641 Bay Rd, Saginaw, MI 48604-2509 | 2016-01-06 |
| 1033508536 | Decatur Hospital Authority | Clinic/Center | 600 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3565 | 2015-01-21 |
| 1881010148 | Nolia Dialysis, LLC | Clinic/Center | 900 N Blue Mound Rd Ste 192, Saginaw, TX 76131-8828 | 2014-03-11 |
| 1124133962 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 920 N Niagara St, Saginaw, MI 48602-4332 | 2006-08-20 |
| 1093753568 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 4800 Mcleod Dr E, Bay Area Reg. Dialysis Ctr Saginaw - Ckd Services, Saginaw, MI 48604-2839 | 2006-06-04 |
| 1518929868 | Renal Treatment Centers Illinois Inc | Clinic/Center | 311 Hoyt Ave, Saginaw, MI 48607 | 2006-04-03 |
| 1235673724 | Nxkc Saginaw, LLC | Clinic/Center | 5375 Hampton Pl, Saginaw, MI 48604-9478 | 2016-12-19 |
| 1861947020 | Portola Dialysis LLC | Clinic/Center | 1205 N Michigan Ave, Saginaw, MI 48602-4729 | 2016-08-17 |
| 1710095633 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 4800 Mcleod Dr E, Saginaw, MI 48604-2839 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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.