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).
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. |
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 |
---|---|---|---|
OR | PTAN | 38-2561 | 01 |
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 |
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 |
Street Address |
11909 NE GLENN WIDING DR |
City | PORTLAND |
State | OR |
Zip Code | 97220-9099 |
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 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 |
---|---|---|---|---|
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 |
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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.