ULSTER DIALYSIS, LLC


Address: 900 Miron Ln, Kingston, NY 12401-1567
Phone: 8456660790

ULSTER DIALYSIS, LLC (NPI# 1952908386) 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) 1952908386
Entity Type Organization
Organization Name ULSTER DIALYSIS, LLC
Practice Address 900 Miron Ln
Kingston
NY 12401-1567
Mailing Address Po Box 631106
Cincinnati
OH 45263-1106
Practice Telephone 8456660790
Practice Fax Number 8456660785
Mailing Telephone 8456660790
Mailing Fax Number 8456660785
Enumeration Date 2020-10-08
Last Update Date 2020-10-08
Authorized Official Name THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
Authorized Official Telephone 2147362700
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 Data Sources

Entity Type Entity Name Entity Address
New York State Corporations ULSTER DIALYSIS, LLC 117 Marys Ave, Suite 105, Kingston, New York 12401

Office Location

Street Address 900 MIRON LN
City KINGSTON
State NY
Zip Code 12401-1567

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1104345107 Shiv Ramlochan Licensed Practical Nurse 1 Family Drive, Kingston, NY 12401 2017-09-12
1346776333 Sara Bockelmann Licensed Practical Nurse 616 Kiersted Ave, Kingston, NY 12401 2017-05-11
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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...

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NPI Name Taxonomy Address Enumeration
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1215989041 Healthalliance Hospital Broadway Campus Clinic/Center 37 Albany Ave, Kingston, NY 12401-2902 2006-05-17

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Competitor

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City KINGSTON
Zip Code 12401

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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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