LIBERTY RC INC (NPI# 1992136022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992136022 |
| Entity Type | Organization |
| Organization Name | LIBERTY RC INC |
| Other Organization Name | LOWVILLE DIALYSIS CENTER |
| Practice Address |
7785 N State St Ste 1 Lowville NY 13367-1229 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3153773090 |
| Practice Fax Number | 3153769983 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFC & TREASURER) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03931133 | 05 |
| Other Name | Type Code |
|---|---|
| Lowville Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639727852 | Liberty Rc Inc | Clinic/Center | 2521 Walden Ave Ste 600, Cheektowaga, NY 14225-4737 | 2019-08-30 |
| 1699261321 | Liberty Rc Inc | Clinic/Center | 475 S Transit St Ste 900, Lockport, NY 14094-5562 | 2018-07-05 |
| 1205353513 | Liberty Rc Inc | Clinic/Center | 3958 Vineyard Dr, Dunkirk, NY 14048-3522 | 2017-08-28 |
| 1619377330 | Liberty Rc Inc | Clinic/Center | 2932 Military Rd, Niagara Falls, NY 14304-1252 | 2014-08-29 |
| 1184930083 | Liberty Rc Inc | Clinic/Center | 4910 Camp Rd, Ste 100, Hamburg, NY 14075-2617 | 2010-08-30 |
| 1154537132 | Liberty Rc Inc | Clinic/Center | 3117 Webster Ave, Fl 1, Bronx, NY 10467-4905 | 2007-05-15 |
| 1043377922 | Liberty Rc Inc | Clinic/Center | 1515 Jarrett Pl, Bronx, NY 10461-2606 | 2007-01-02 |
| 1265461487 | Liberty Rc Inc | Clinic/Center | 155 White Plains Rd, Tarrytown, NY 10591-5523 | 2006-07-01 |
| 1578591152 | Liberty Rc Inc | Clinic/Center | 611 W Hartsdale Ave Fl 1, White Plains, NY 10607-1811 | 2006-06-30 |
| 1245763804 | Liberty Rc Inc | Clinic/Center | 699 Hertel Ave, Ste 380, Buffalo, NY 14207-2355 | 2017-04-10 |
| Street Address |
7785 N STATE ST STE 1 |
| City | LOWVILLE |
| State | NY |
| Zip Code | 13367-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246428 | Elwin L Stillman | Family Medicine | 7785 N State St, Ste 330, Lowville, NY 13367-1229 | 2005-06-23 |
| 1245853183 | Sara Hunsicker | Physician Assistant | 7785 N State St, Lowville, NY 13367-1229 | 2020-05-27 |
| 1366063471 | Barbara Ellen Anderson | Nurse Practitioner | 7785 N State St, Lowville, NY 13367-1229 | 2020-04-29 |
| 1518592054 | Kaitlyn Elizabeth Given | Nurse Anesthetist, Certified Registered | 7785 N State St, Lowville, NY 13367-1297 | 2020-03-05 |
| 1255962288 | Jennifer S Cihocki | Occupational Therapist | 7785 N State St, Lowville, NY 13367-1229 | 2020-01-29 |
| 1114566353 | Lynne Pominville | Physical Therapist | 7785 N State St, Lowville, NY 13367-1229 | 2020-01-06 |
| 1891331039 | Randall Leroy Lehman | Physical Therapist | 7785 N State St, Lowville, NY 13367-1229 | 2019-11-22 |
| 1881230563 | Pco PC | Radiology | 7785 N State St, Lowville, NY 13367-1229 | 2019-11-18 |
| 1740842525 | Caryl Petrus | Physical Therapist | 7785 N State St, Lowville, NY 13367-1229 | 2019-07-02 |
| 1356807556 | Stephenie Ann Hunziker | Registered Nurse | 7785 N State St, Lowville, NY 13367-1229 | 2019-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284426 | Abdelrahman Elgallad | Anesthesiology | 7785 N. State Street, Lowville, NY 13367 | 2017-06-04 |
| 1164887428 | Debra Ann Wiedmer | Occupational Therapist | 7020 State Rt. 12, Lowville, NY 13367 | 2015-12-30 |
| 1699165985 | Emily Marie Miller | Pharmacist | 7155 Nys Rt 12 South, Lowville, NY 13367 | 2015-01-26 |
| 1710247713 | Matthew J. Humphrey | Social Worker | 7550 South State St, Lowville, NY 13367 | 2012-05-23 |
| 1275856189 | Jane M Sanford | Counselor | 7714 Number Three Road, Lowville, NY 13367 | 2010-03-05 |
| 1043547151 | Marilyn A Planck Yancey | Occupational Therapist | 7441 Emi Lane, Lowville, NY 13367 | 2009-11-10 |
| 1053434613 | Allison Lynn Sammis | Pharmacist | 7395 Utica Bulevard, Lowville, NY 13367 | 2007-04-09 |
| 1598887622 | Jennifer Leigh Lovenduski | Pharmacist | Kinney Drugs, 7395 Utica Boulevard, Lowville, NY 13367 | 2007-04-06 |
| 1699853952 | Janine A Haver | Social Worker | 5440 Trinity Ave, Lowville, NY 13367 | 2006-11-02 |
| 1215015581 | William Burkhard | Counselor | 7550 South State Street, Lowville, NY 13367 | 2006-11-02 |
| Find all providers in zip 13367 | ||||
| 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 |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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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.