SPRAGUE DIALYSIS LLC (NPI# 1972047918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972047918 |
Entity Type | Organization |
Organization Name | SPRAGUE DIALYSIS LLC |
Other Organization Name | VINELAND DIALYSIS |
Practice Address |
1318 S Main Rd Ste 3b Vineland NJ 08360-6516 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 8566910875 |
Practice Fax Number | 8566920306 |
Mailing Telephone | 6153416410 |
Mailing Fax Number | 8886628259 |
Enumeration Date | 2016-12-09 |
Last Update Date | 2019-10-15 |
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 |
23129 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0588270 | 05 |
Other Name | Type Code |
---|---|
Vineland Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093270696 | Sprague Dialysis LLC | Clinic/Center | 4403 Black Horse Pike Ste Ll04, Mays Landing, NJ 08330-3103 | 2019-02-07 |
1255875290 | Sprague Dialysis LLC | Clinic/Center | 3 Elizabeth St, Millville, NJ 08332 | 2016-12-09 |
1639613649 | Sprague Dialysis LLC | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2016-12-09 |
Street Address |
1318 S MAIN RD STE 3B |
City | VINELAND |
State | NJ |
Zip Code | 08360-6516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669461190 | Ruth Webster Skay | Nurse Practitioner | 1318 S Main Rd, Vineland, NJ 08360-6516 | 2005-10-18 |
1629407523 | Andrea T Wilson | Social Worker | 1318 S Main Rd, Suite 3, Vineland, NJ 08360-6516 | 2013-11-01 |
1063683985 | Community Health Care, Inc | Optometrist | 1318 S Main Rd, Vineland, NJ 08360-6516 | 2008-03-19 |
1134327786 | Rolande Alam Mirone | Pediatrics | 1318 S Main Rd, Building 1, Vineland, NJ 08360-6516 | 2007-07-05 |
1588729362 | Vineland Oral Surgeons Pa | Dentist | 1318 S Main Rd, Bldg 4 Suite B, Vineland, NJ 08360-6516 | 2006-12-22 |
1619907417 | Kidney Center of Vineland LLC | Clinic/Center | 1318 S Main Rd, Vineland, NJ 08360-6516 | 2006-07-04 |
1912943440 | Wisda Eye Center PC | Ophthalmology | 1318 S Main Rd, Bldg. 2a, Vineland, NJ 08360-6516 | 2006-06-22 |
1699717975 | Catherine L Wisda | Ophthalmology | 1318 S Main Rd, Bldg. 2a, Vineland, NJ 08360-6516 | 2006-06-12 |
1861461196 | Kevin George Barber | Internal Medicine | 1318 S Main Rd, Building #3, Vineland, NJ 08360-6516 | 2006-03-17 |
1710956370 | Cumberland Nephrology Associates | Internal Medicine | 1318 S Main Rd, Building #3, Vineland, NJ 08360-6516 | 2006-03-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
Find all providers in zip 08360 |
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 |
---|---|---|---|---|
1992178438 | Fresenius Medical Care Vineland, LLC | Clinic/Center | 1206 W Sherman Ave, Vineland, NJ 08360-6911 | 2015-11-05 |
1619907417 | Kidney Center of Vineland LLC | Clinic/Center | 1318 S Main Rd, Vineland, NJ 08360-6516 | 2006-07-04 |
1033172457 | Dca of Vineland LLC | Clinic/Center | 1450 E Chestnut Ave, Bldg 2 Suite C, Vineland, NJ 08361-8467 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
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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.