EASTLAND DIALYSIS CENTER, LLC (NPI# 1871055822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871055822 |
| Entity Type | Organization |
| Organization Name | EASTLAND DIALYSIS CENTER, LLC |
| Practice Address |
2300 Commerce Street Eastland TX 76448 |
| Mailing Address |
304 S. Daugherty Street Eastland TX 76448 |
| Practice Telephone | 2546293600 |
| Practice Fax Number | 2546298907 |
| Mailing Telephone | 2546315342 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | TED D MATTHEWS (CEO) |
| Authorized Official Telephone | 2546315342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
Nursing Service Providers | ||
| N | 2472R0900X |
Technician, Other Specialization: Renal Dialysis |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eastland Dialysis Center | Doing Business As Name - Organization |
| Street Address |
2300 COMMERCE STREET |
| City | EASTLAND |
| State | TX |
| Zip Code | 76448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801139936 | Accesscare Dialysis | Clinic/Center | 2300 West Commerce Street, Eastland, TX 76448 | 2013-03-27 |
| 1023353752 | Eastland Memorial Hospital District | Medicare Defined Swing Bed Unit | 304 South Daugherty Street, Eastland, TX 76448 | 2012-12-06 |
| 1801165543 | Billy B Alexander | Family Medicine | 201 S. Oaklawn, Eastland, TX 76448 | 2011-12-27 |
| 1609160472 | Valerie Kai Deluca | Internal Medicine | 500 West Plummer, Eastland, TX 76448 | 2011-06-08 |
| 1710107024 | William F Simpson Jr D.o.p.a. | Surgery | 921 East Main Street, Eastland, TX 76448 | 2007-04-27 |
| 1215045240 | Alan Bart Mickish | Family Medicine | 400 W Plummer, Eastland, TX 76448 | 2006-08-29 |
| 1366483810 | Scooter Mart Inc | Durable Medical Equipment & Medical Supplies | 208 S Lamar, Eastland, TX 76448 | 2006-06-08 |
| 1215190053 | Doc's Drugstore of Eastland Inc | Pharmacy | 905 E Main St, Eastland, TX 76448 | 2008-07-02 |
| 1881721082 | Cone C Rice IIi | Dentist | 963 E Main St, Eastland, TX 76448 | 2007-02-27 |
| 1760815633 | Air Evac Ems Inc. | Ambulance | 9614 Interstate 20, Eastland, TX 76448-0000 | 2013-08-15 |
| Find all providers in zip 76448 | ||||
| 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 |
|---|---|---|---|---|
| 1801139936 | Accesscare Dialysis | Clinic/Center | 2300 West Commerce Street, Eastland, TX 76448 | 2013-03-27 |
| 1790154458 | Dsi Eastland, LLC | Clinic/Center | 2300 W Commerce St, Eastland, TX 76448-2278 | 2015-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| 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.