GREATER LAFAYETTE HEALTH SERVICES (NPI# 1003915455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003915455 |
| Entity Type | Organization |
| Organization Name | GREATER LAFAYETTE HEALTH SERVICES |
| Other Organization Name | WHITE COUNTY DIALYSIS |
| Practice Address |
1017 O Connor Blvd Monticello IN 47960-1600 |
| Practice Telephone | 5745833664 |
| Mailing Telephone | 5745833664 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRANCE E WILSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7654236161 |
| 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 |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| White County Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396044392 | Greater Lafayette Health Services | Durable Medical Equipment & Medical Supplies | 1260 N 17th St, Lafayette, IN 47904-2163 | 2011-03-17 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1609968254 | Greater Lafayette Health Services | Clinic/Center | 1000 North 18th Street, Lafayette, IN 47904 | 2006-09-29 |
| 1093013393 | Greater Lafayette Health Services | Durable Medical Equipment & Medical Supplies | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2011-03-10 |
| 1265763742 | Greater Lafayette Health Services | Pharmacy | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2010-01-22 |
| 1508935552 | Greater Lafayette Health Services | Clinic/Center | 1425 Unity Pl, Lafayette, IN 47905-5756 | 2006-11-06 |
| 1710065750 | Greater Lafayette Health Services | Clinic/Center | 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7438 | 2006-11-01 |
| 1982782934 | Greater Lafayette Health Services | Clinic/Center | 1345 Unity Pl, Suite 235, Lafayette, IN 47905-5760 | 2006-11-01 |
| 1285733584 | Greater Lafayette Health Services | Clinic/Center | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2006-09-22 |
| 1851498075 | Greater Lafayette Health Services | Clinic/Center | 1300 S Jackson St, Frankfort, IN 46041-3313 | 2006-09-20 |
| Street Address |
1017 O CONNOR BLVD |
| City | MONTICELLO |
| State | IN |
| Zip Code | 47960-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1588075949 | Theodore Eckerle | Social Worker | 920 West Executive Court, Monticello, IN 47960 | 2014-05-19 |
| 1598805723 | Twin Lakes School Corporation | Local Education Agency (LEA) | 565 S Main Street, Monticello, IN 47960 | 2007-02-07 |
| 1003904806 | Forest Richard Robertson II | Dentist | 515 S Illinois St, Monticello, IN 47960 | 2006-10-10 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| 1548270697 | Cdc Resources Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5053 Norway Rd, Monticello, IN 47960 | 2006-08-09 |
| 1528040516 | The Eye Center Group LLC | Optometrist | 1101 O'connor Blvd, Monticello, IN 47960 | 2005-11-16 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1467890293 | White County Community Counseling Services LLC | Counselor | 126 S Main St, Monticello, IN 47960 | 2013-06-14 |
| 1144589813 | Angelique Witlam | Physical Therapist | 906 W. Executive Court, Monticello, IN 47960 | 2012-05-15 |
| Find all providers in zip 47960 | ||||
| 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 |
|---|---|---|---|---|
| 1770939241 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 40 Walmart Plaza Dr, Monticello, KY 42633-7904 | 2016-05-13 |
| 1285746180 | Jefferson County Dialysis Inc | Clinic/Center | 774 Jordan Dr, Monticello, AR 71655-5718 | 2006-08-31 |
| 1508802968 | Knickerbocker Dialysis Inc | Clinic/Center | 139 Forestburgh Rd, Monticello, NY 12701-2348 | 2006-06-22 |
| 1245287358 | Nra Monticello Georgia LLC | Clinic/Center | 1393 Funderburg Dr, Monticello, GA 31064-6818 | 2006-05-27 |
| 1497141576 | Dsi Macon, LLC | Clinic/Center | 1393 Funderburg Dr, Monticello, GA 31064-6818 | 2015-04-15 |
| 1518057918 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 810 S 6th St, Monticello, IN 47960-8201 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 47960 |
Please comment or provide details below to improve the information on GREATER LAFAYETTE HEALTH SERVICES.
| 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.