RENAL LIFE LINK INC (NPI# 1932118403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932118403 |
Entity Type | Organization |
Organization Name | RENAL LIFE LINK INC |
Other Organization Name | MARION DIALYSIS |
Practice Address |
324 S 4th St Marion IL 62959-1241 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 6189978410 |
Practice Fax Number | 6189978415 |
Mailing Telephone | 6153204514 |
Mailing Fax Number | 8665949961 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2019-04-30 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
Other Name | Type Code |
---|---|
Marion Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144423138 | Renal Life Link Inc | Clinic/Center | 3401 S 19th St, Tacoma, WA 98405-1909 | 2007-06-07 |
1295821304 | Renal Life Link Inc | Clinic/Center | 6246 W 95th St, Oak Lawn, IL 60453-2702 | 2006-10-05 |
1215023338 | Renal Life Link Inc | Clinic/Center | 8109 South Western Ave, Chicago, IL 60620-5939 | 2006-10-05 |
1104921923 | Renal Life Link Inc | Clinic/Center | 7100 Airline Dr, Metairie, LA 70003-5950 | 2006-09-14 |
1619079647 | Renal Life Link Inc | Clinic/Center | 2880 W Airline Hwy, La Place, LA 70068-2922 | 2006-09-01 |
1609885185 | Renal Life Link Inc | Clinic/Center | 1151 Route 14 W, Benton, IL 62812-1500 | 2006-08-05 |
1467461947 | Renal Life Link Inc | Clinic/Center | 1231 State Route 161, Centralia, IL 62801-6739 | 2006-08-05 |
1326072638 | Renal Life Link Inc | Clinic/Center | 4102 N. Water Tower Place, Mount Vernon, IL 62864 | 2006-07-10 |
1073540506 | Renal Life Link Inc | Clinic/Center | 4019 Johns Rd, Dallas, GA 30132-3420 | 2006-06-28 |
1932136462 | Renal Life Link Inc | Clinic/Center | 7117 S Sweetwater Rd, Lithia Springs, GA 30122-2446 | 2006-06-28 |
Street Address |
324 S 4TH ST |
City | MARION |
State | IL |
Zip Code | 62959-1241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
Find all providers in zip 62959 |
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 |
---|---|---|---|---|
1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
1932651577 | Total Renal Care Inc | Clinic/Center | 2529 E Highway 76, Marion, SC 29571-6347 | 2016-10-31 |
1740635978 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 945 N Main St, Marion, VA 24354-4165 | 2016-04-25 |
1003222001 | Total Renal Care, Inc. | Clinic/Center | 1221 Delaware Ave, Marion, OH 43302-6419 | 2014-07-10 |
1609127273 | Renal Treatment Centers Southeast Lp | Clinic/Center | 611 E Lafayette St, Marion, AL 36756-2325 | 2012-09-24 |
1396006292 | Monahans Dialysis LLC | Clinic/Center | 1587 N Main St, Marion, VA 24354-4317 | 2012-06-06 |
1720190556 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 109 Merritt Ct., Marion, SC 29571-4914 | 2006-08-31 |
1508971342 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 900 Skyline Dr, Suite 200, Marion, IL 62959-4972 | 2006-08-20 |
1710092556 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 1730 Marion Waldo Rd, Marion, OH 43302-7428 | 2006-08-20 |
1003861642 | Isd Renal Inc | Clinic/Center | 1120 State Highway 77 Ste 2, Marion, AR 72364-9046 | 2006-05-23 |
Find all providers in MARION |
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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.