FOSS DIALYSIS LLC


Address: 2550 S Telshor Blvd, Las Cruces, NM 88011-4907
Phone: 5755223519

FOSS DIALYSIS LLC (NPI# 1942643861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942643861
Entity Type Organization
Organization Name FOSS DIALYSIS LLC
Other Organization Name MESILLA VALLEY DIALYSIS
Practice Address 2550 S Telshor Blvd
Las Cruces
NM 88011-4907
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 5755223519
Practice Fax Number 5755225481
Mailing Telephone 6153416814
Mailing Fax Number 8002938405
Enumeration Date 2013-04-10
Last Update Date 2020-03-03
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
NM 86082515 05

Other Provider/Organization Names

Other Name Type Code
Mesilla Valley Dialysis Doing Business As Name - Organization

Office Location

Street Address 2550 S TELSHOR BLVD
City LAS CRUCES
State NM
Zip Code 88011-4907

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NPI Name Taxonomy Address Enumeration
1356954648 Asc of The Heart Institute Internal Medicine 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 2020-08-26
1104449206 Kruti Gitesh Shah Student in an Organized Health Care Education/Training Program Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 2020-05-22
1831719368 Borna Mansouri Student in an Organized Health Care Education/Training Program 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 2020-04-24
1306474408 Madonna Petula Phillip Student in an Organized Health Care Education/Training Program 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 2020-04-01
1285267849 Back In Action Therapy of Las Cruces Occupational Therapist 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 2020-02-21
1649818725 Kimberly Ann Smetzer Registered Nurse 4401 East Lohman, Building 5, Las Cruces, NM 88011 2019-12-19
1548806375 Melinda Michelle Fowler Social Worker 2605 Terrace Drive, Las Cruces, NM 88011 2019-11-27
1871134692 Rio Grande Hematology and Oncology, LLC Internal Medicine 4391 East Lohman Ave., Las Cruces, NM 88011 2019-10-02
1972083640 Lorianna R. Narvaez Counselor 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 2018-08-21
1215416524 Aday Orthodontics, PC Dentist 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 2018-08-08
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457829269 Valley Home Dialysis Clinic/Center 3900 E Lohman Ave Ste B1, Las Cruces, NM 88011-8268 2018-11-09
1235636283 Usrc Las Cruces LLC Clinic/Center 250 E Amador Ave, Las Cruces, NM 88001-3649 2018-04-06
1447362348 Renal Care Group South New Mexico, LLC Clinic/Center 3875 Foothills Rd, Las Cruces, NM 88011-4620 2006-08-31
1912952169 Isd Renal Inc Clinic/Center 3961 E Lohman Ave, Ste 29, Las Cruces, NM 88011-8272 2006-05-24
1568733913 Las Cruces Home Therapies Clinic/Center 2919 Hillrise Dr, Las Cruces, NM 88011-4701 2012-01-17
1619037017 Renal Care Group South New Mexico, LLC Clinic/Center 2525 S Telshor Blvd, Suite B, Las Cruces, NM 88011-5071 2006-12-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447866108 Bio-medical Applications of New Mexico, Inc. Clinic/Center 2050 Knudsen Ave, Ste C, Farmington, NM 87401-9070 2020-09-18
1306499405 Trc Four Corners Dialysis Clinics LLC Clinic/Center 4525 Rowe Ave, Farmington, NM 87402-3013 2019-07-18
1124523857 Bio Medical Applications of New Mexico, Inc. Clinic/Center 5221 Las Soleras Dr, Santa Fe, NM 87507-2101 2018-03-26
1710406301 Dialysis Clinic Inc Clinic/Center 8121 Central Ave Nw, Albuquerque, NM 87121-2125 2017-09-14
1033634175 Chantry Dialysis, LLC Clinic/Center 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 2017-08-10
1124477112 Home Dialysis of Santa Fe, LLC Clinic/Center 2904 Rodeo Park Dr E Ste 300a-1, Santa Fe, NM 87505-6305 2016-06-09
1811358609 Solid Rock Dialysis, LLC Clinic/Center 1580 Highway 264, Suite A, Gallup, NM 87301-3302 2016-03-08
1003274309 Fresenius Medical Care Sandhill, LLC Clinic/Center 1306 Enterprise Rd., Socorro, NM 87801 2016-02-02
1386016541 Bogachiel Dialysis LLC Clinic/Center 5201 San Mateo Blvd Ne, Albuquerque, NM 87109-2414 2015-10-28
1952770984 Usrc Clovis, LLC Clinic/Center 4024 N Prince St, Clovis, NM 88101-9704 2015-09-21
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Competitor

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City LAS CRUCES
Zip Code 88011

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Dataset Information

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.

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