AMERICAN KIDNEY CENTER OF MADISON LLC (NPI# 1053836486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053836486 |
| Entity Type | Organization |
| Organization Name | AMERICAN KIDNEY CENTER OF MADISON LLC |
| Practice Address |
419 Clifty Dr Madison IN 47250-1607 |
| Mailing Address |
721 S Preston St Louisville KY 40203-2319 |
| Practice Telephone | 5025831799 |
| Practice Fax Number | 5025831792 |
| Mailing Telephone | 5025831799 |
| Mailing Fax Number | 5025831792 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | JAI P BHIMINI (MEMBER MANAGER) |
| Authorized Official Telephone | 5025234535 |
| Authorized Official Credential | MD |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AMERICAN KIDNEY CENTER OF MADISON LLC | 419 Clifty Dr, Madison, IN 47250-1607 |
| Street Address |
419 CLIFTY DR |
| City | MADISON |
| State | IN |
| Zip Code | 47250-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| 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 |
|---|---|---|---|---|
| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1487108668 | Total Renal Care, Inc | Clinic/Center | 1221 Briarville Rd, Madison, TN 37115-5145 | 2016-08-05 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1114368065 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 29569 Huntsville Brownsferry Rd, Madison, AL 35756-3639 | 2013-07-08 |
| 1871680264 | Athens Kidney Center, PC | Clinic/Center | 1311 Atlanta Hwy, Madison, GA 30650-2069 | 2006-10-06 |
| 1245342054 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 40 Hughes Rd, Madison, AL 35758-2220 | 2006-08-31 |
| 1114035912 | Wisconsin Dialysis, Inc. | Clinic/Center | 4600 American Pkwy, Ste 108, Madison, WI 53718-8337 | 2006-08-29 |
| 1396762035 | Bio-medical Applications of Indiana, Inc. | Clinic/Center | 1708 Cragmont St, Madison, IN 47250-2808 | 2006-07-17 |
| 1861420416 | Dialysis Clinic Inc. | Clinic/Center | 605 W Due West Ave, Madison, TN 37115-4423 | 2006-06-30 |
| 1073577532 | Renal Treatment Centers Illinois Inc | Clinic/Center | 220 Clifty Dr, Unit K, Madison, IN 47250-1696 | 2006-04-13 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on AMERICAN KIDNEY CENTER OF MADISON 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.