ROSE CITY DIALYSIS LLC


Address: 11909 Ne Glenn Widing Dr, Portland, OR 97220-9099
Phone: 5032553464

ROSE CITY DIALYSIS LLC (NPI# 1023367893) 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) 1023367893
Entity Type Organization
Organization Name ROSE CITY DIALYSIS LLC
Practice Address 11909 Ne Glenn Widing Dr
Portland
OR 97220-9099
Practice Telephone 5032553464
Practice Fax Number 5032546160
Mailing Telephone 5032553464
Mailing Fax Number 5032546160
Enumeration Date 2012-09-07
Last Update Date 2018-01-19
Authorized Official Name MARK R FAWCETT (TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

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
OR PTAN 38-2561 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407378532 Rose City Dialysis LLC Clinic/Center 7474 Ne M L King Blvd, Portland, OR 97211-2828 2017-07-11
1285068635 Rose City Dialysis LLC Clinic/Center 328 Warner Milne Rd Bldg 1, Oregon City, OR 97045-4046 2013-08-21
1528410891 Rose City Dialysis LLC Clinic/Center 8050 Sw Warm Springs St, Ste 120, Tualatin, OR 97062-7401 2016-07-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ROSE CITY DIALYSIS LLC 10300 Sw Nimbus Ave Ste P-A, Portland, OR 97223-4345

Office Location

Street Address 11909 NE GLENN WIDING DR
City PORTLAND
State OR
Zip Code 97220-9099

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
Find all providers in zip 97220

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
1922522432 Garson Dialysis, LLC Clinic/Center 6828 Se Foster Rd, Portland, OR 97206-4546 2017-07-27
1407378532 Rose City Dialysis LLC Clinic/Center 7474 Ne M L King Blvd, Portland, OR 97211-2828 2017-07-11
1215397534 Rose City Dialysis, LLC Clinic/Center 4905 Ne Ml King Blvd, Portland, OR 97211-3353 2016-02-29
1770980401 Total Renal Care Inc Clinic/Center 2737 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3037 2014-11-24
1932532157 Rose City Dialysis, LLC Clinic/Center 10300 Sw Nimbus Ave Ste Pa, Portland, OR 97223-4345 2013-08-12
1629180443 Dialysis Associates, LLC Clinic/Center 923 S Broadway, Portland, TN 37148-1691 2006-08-31
1083726988 Pacific Northwest Renal Services, L.L.C. Clinic/Center 2701 Nw Vaughn St Ste 150, Portland, OR 97210-5379 2006-08-31
1891807798 Pacific Northwest Renal Services, L.L.C. Clinic/Center 4905 Ne Martin Luther King Blvd., Portland, OR 97211-0000 2006-08-31
1982620969 Bio-medical Applications of Maine, Inc. Clinic/Center 1600 Congress Street, Portland, ME 04102 2006-07-14
1922037902 Oregon Kidney Center Clinic/Center 5318 Ne Irving St, Portland, OR 97213-3158 2006-07-01
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97220

Improve Information

Please comment or provide details below to improve the information on ROSE CITY DIALYSIS LLC.

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.

Trending Searches