CLINTON TOWNSHIP DIALYSIS LLC


Address: 15918 19 Mile Rd, Ste 110, Clinton Township, MI 48038-1101
Phone: 5864129195

CLINTON TOWNSHIP DIALYSIS LLC (NPI# 1013101310) 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) 1013101310
Entity Type Organization
Organization Name CLINTON TOWNSHIP DIALYSIS LLC
Other Organization Name CLINTON TOWNSHIP DIALYSIS
Practice Address 15918 19 Mile Rd
Ste 110
Clinton Township
MI 48038-1101
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 5864129195
Practice Fax Number 5864129196
Mailing Telephone 6153204514
Mailing Fax Number 8665949961
Enumeration Date 2007-08-29
Last Update Date 2020-08-24
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
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
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 1013101310 05

Other Provider/Organization Names

Other Name Type Code
Clinton Township Dialysis Doing Business As Name - Organization

Office Location

Street Address 15918 19 MILE RD
STE 110
City CLINTON TOWNSHIP
State MI
Zip Code 48038-1101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245290063 Eagle Rehab Corporation Clinic/Center 15918 19 Mile Rd, Ste 150, Clinton Township, MI 48038 2006-03-24
1548370034 Joseph Piechocki Physical Therapist 15918 19 Mile Rd, Suite 150, Clinton Township, MI 48038-1101 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447864129 Raphael Antonio Tramble Counselor River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 2020-09-01
1275160384 Varun C Sankuratri Obstetrics & Gynecology 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 2020-03-26
1114563178 Hopeful Reflections Counseling Center, Pllc Counselor 44444 Hayes, Clinton Township, MI 48038 2019-11-25
1588224570 Karrie Marie Armstrong Social Worker 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 2019-06-20
1386201424 Rx Mart Pharmacy LLC Pharmacy 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 2019-05-23
1306314489 Rx Mart Pharmacy LLC Pharmacy 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 2018-11-07
1730677592 Najoi Sleiman Physical Medicine & Rehabilitation 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 2018-04-27
1295230365 David Michael Ragbeer Emergency Medicine Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 2018-03-29
1932601317 Synergy Pharmacy LLC Pharmacy 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 2018-03-01
1689175002 Melissa Velez Miracle Speech-Language Pathologist 38809 Windmill Pointe W, Clinton Twp, MI 48038 2018-02-21
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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
1689870594 Macomb Regional Dialysis Centers, L.L.C. Clinic/Center 16151 Ninteen Mile Rd, Suite 200, Clinton Township, MI 48038-1158 2007-06-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801497961 Saint Marina Home Dialysis LLC Clinic/Center 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 2020-11-05
1144820226 Heritage Home Dialysis LLC Clinic/Center 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 2020-10-28
1386262350 Delta Renal Care Pllc Clinic/Center 3981 Elizabeth Ave, Canton, MI 48188-7223 2020-07-07
1457973257 Fms Owosso, LLC Clinic/Center 918 Corunna Ave, Owosso, MI 48867-3768 2020-05-14
1023650926 Falmont Dialysis LLC Clinic/Center 37290 5 Mile Rd, Livonia, MI 48154-1848 2019-10-11
1487112942 Michigan Dialysis Services, LLC Clinic/Center 275 N Canton Center Rd, Canton, MI 48187 2019-03-04
1487123600 Concerto Michigan LLC Clinic/Center 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 2018-11-16
1245715291 Brooksprings Dialysis, LLC Clinic/Center 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 2018-09-26
1851886592 Fms Rochester Hills, LLC Clinic/Center 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 2018-06-26
1801399753 Kasaskia Dialysis LLC Clinic/Center 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 2018-03-16
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Competitor

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City CLINTON TOWNSHIP
Zip Code 48038

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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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