SPRAGUE DIALYSIS LLC


Address: 1318 S Main Rd, Ste 3b, Vineland, NJ 08360-6516
Phone: 8566910875

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0588270 05

Other Provider/Organization Names

Other Name Type Code
Vineland Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1318 S MAIN RD
STE 3B
City VINELAND
State NJ
Zip Code 08360-6516

Providers in the same location

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
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Providers in the same zip code

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
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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
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

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City VINELAND
Zip Code 08360

Improve Information

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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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