COMMUNITY MEDICAL CENTER DIALYSIS (NPI# 1992284814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992284814 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTER DIALYSIS |
| Practice Address |
1325 S Reserve St Missoula MT 59801-4759 |
| Mailing Address |
135 Commons Way Kalispell MT 59901-1900 |
| Practice Telephone | 4067286585 |
| Practice Fax Number | 4067286586 |
| Mailing Telephone | 4067565565 |
| Mailing Fax Number | 4067567712 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | MR. WILLIAM E WOOD II (PRESIDENT) |
| Authorized Official Telephone | 6153273061 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2835 Fort Missoula Rd Ste 101, Missoula, MT 59804 | 4067286585 | 4067286586 |
| Street Address |
1325 S RESERVE ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-4759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| 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 |
|---|---|---|---|---|
| 1861790727 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3100 Great Northern Ave, Missoula, MT 59808-1539 | 2011-03-02 |
| 1558430298 | St. Patrick Hospital Corporation | Clinic/Center | 500 W Broadway St, Missoula, MT 59802-4008 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1790227403 | Dialysis Clinic Inc | Clinic/Center | 303 Ridgewater Dr, Polson, MT 59860-8547 | 2016-11-11 |
| 1144682758 | Fresenius Medical Care of Montana LLC | Clinic/Center | 305 Ridgewater Dr, Polson, MT 59860-8547 | 2016-03-23 |
| 1073975686 | Gfld,llc | Clinic/Center | 1724 26th Street S, Great Falls, MT 59405-5272 | 2016-03-23 |
| 1043634280 | Billings Clinic Dialysis LLC | Clinic/Center | 616 N 25th St, Billings, MT 59101-1040 | 2014-02-07 |
| 1578993663 | Total Renal Care Inc | Clinic/Center | 3400 10th Ave S, Ste 1, Great Falls, MT 59405-3473 | 2013-11-26 |
| 1679871537 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3745 Harrison Ave, Suite D, Butte, MT 59701-6814 | 2011-03-02 |
| 1053477547 | Billings Clinic | Clinic/Center | I 90 & 212, Crow Agency, MT 59022 | 2006-12-29 |
| 1659483048 | Fort Peck Tribes | Clinic/Center | 107 H St, Poplar, MT 59255-1027 | 2006-08-31 |
| 1124043815 | Dialysis Clinic Inc. | Clinic/Center | 760 Hopsital Circle, Browning, MT 59417 | 2006-07-13 |
| 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.