HAWTHORN KIDNEY CENTER WAREHAM LLC (NPI# 1023354289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023354289 |
| Entity Type | Organization |
| Organization Name | HAWTHORN KIDNEY CENTER WAREHAM LLC |
| Practice Address |
2991 Cranberry Hwy Suite F1 East Wareham MA 02538-1354 |
| Practice Telephone | 5082955290 |
| Practice Fax Number | 5082955291 |
| Mailing Telephone | 5082955290 |
| Mailing Fax Number | 5082955291 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | MR. JONATHAN WILCOX (CFO) |
| Authorized Official Telephone | 9789223080 |
| 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 |
|---|---|---|---|
| MA | 110096821A | 05 |
| Street Address |
2991 CRANBERRY HWY SUITE F1 |
| City | EAST WAREHAM |
| State | MA |
| Zip Code | 02538-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720056955 | Paul Alan Blauner | Physician Assistant | 2991 Cranberry Hwy, East Wareham, MA 02538-1354 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457445876 | Michelle Deanne Vinagre | Optometrist | 3003-b Cranberry Hwy., E. Wareham, MA 02538 | 2006-10-02 |
| 1154349157 | Atlantic Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3105 Cranberry Highway, E.wareham, MA 02538 | 2006-07-17 |
| 1134523517 | Jennifer Stacy Borelli | Counselor | 25 Peaceful Ln, East Wareham, MA 02538-1102 | 2014-10-14 |
| 1669897922 | Christy Lee Diller | Case Manager/Care Coordinator | 48 Roundhill Blvd, East Wareham, MA 02538-1172 | 2014-02-24 |
| 1316019011 | Donna Marie Feeney | Nurse Practitioner | 16 Bartlett Ln, East Wareham, MA 02538-1202 | 2006-11-15 |
| 1447472352 | Gerald Nathan Unger | Counselor | 3 Tyler Ave, Bldg. B, East Wareham, MA 02538-1328 | 2007-05-02 |
| 1841399201 | Cvs Pharmacy Inc | Pharmacy | 2992 Cranberry Hwy, East Wareham, MA 02538-1336 | 2006-09-22 |
| 1053704684 | Amanda Nee | Counselor | 312 Gatehouse Dr, East Wareham, MA 02538-1370 | 2015-03-06 |
| 1760658249 | Kristen Elizabeth Gibb | Registered Nurse | 504 Gatehouse Dr, East Wareham, MA 02538-1374 | 2008-05-05 |
| 1598206237 | Jacqueline Durgin | Behavioral Analyst | 56 Wareham Lake Shore Dr, East Wareham, MA 02538-1429 | 2017-03-14 |
| Find all providers in zip 02538 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1942673819 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 216 Huttleston Ave, Fairhaven, MA 02719-1958 | 2015-11-02 |
| 1134500747 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 75 Newbury St, Danvers, MA 01923-1083 | 2015-06-10 |
| 1588067623 | Nxstage Boston South, LLC | Clinic/Center | 500 Providence Hwy Ste 1, Norwood, MA 02062-4960 | 2014-10-03 |
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| Find all providers with the same taxonomy | ||||
| City | EAST WAREHAM |
| Zip Code | 02538 |
Please comment or provide details below to improve the information on HAWTHORN KIDNEY CENTER WAREHAM LLC.
| 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.