PRIMROSE DIALYSIS, LLC


Address: 712 S May St, Madisonville, TX 77864-2564
Phone: 9363490326

PRIMROSE DIALYSIS, LLC (NPI# 1073902771) 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) 1073902771
Entity Type Organization
Organization Name PRIMROSE DIALYSIS, LLC
Other Organization Name MAY STREET DIALYSIS
Practice Address 712 S May St
Madisonville
TX 77864-2564
Mailing Address 5200 Virginia Way
L & C Dept
Brentwood
TN 37027-7569
Practice Telephone 9363490326
Practice Fax Number 9363490447
Mailing Telephone 6153416764
Mailing Fax Number 8337816999
Enumeration Date 2015-01-19
Last Update Date 2020-11-03
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
TX 3781841 05
TX STATE LICENSE 110325 01

Other Provider/Organization Names

Other Name Type Code
May Street Dialysis Doing Business As Name - Organization

Office Location

Street Address 712 S MAY ST
City MADISONVILLE
State TX
Zip Code 77864-2564

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437429065 Traditions Health Care of Madisonville, LLC Home Health 1608 East Main Street, Suite 115, Madisonville, TX 77864 2012-01-12
1568585982 Michael Freeman Lee Counselor 404 N. May, Suite- C, Madisonville, TX 77864 2007-04-09
1659452654 Kelly Elizabeth Morgan Counselor 813 South State Street, Ste. 100, Madisonville, TX 77864 2006-10-17
1457463820 Mac L Bennett IIi Dds Inc Dentist 714 B South Madison, Madisonville, TX 77864 2006-08-31
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1619971348 Robert Thomas Tieperman Chiropractor 604 South Madison, Madisonville, TX 77864 2005-06-10
1588776959 Mark Leon Bennett Dentist 714 B South Madison, Madisonville, TX 77864 2006-08-31
1407968803 Mac Leon Bennett IIi Dentist 714 B South Madison, Madisonville, TX 77864 2006-08-31
1629321310 Laquita Clewis Counselor 207 N Panama St, Madisonville, TX 77864-1546 2012-10-18
1497803407 Walkers Pharmacy Pharmacy 112 W Main St, Madisonville, TX 77864-1905 2007-01-08
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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...

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1336396506 Total Renal Care Inc Clinic/Center 255 E North St, Madisonville, KY 42431-1641 2008-08-19
1588832471 Bio-medical Applications of Kentucky, Inc. Clinic/Center 1020 Waterfall Ct., Madisonville, KY 42431 2008-02-14
1942209713 Renalsouth of Louisiana, LLC Clinic/Center 397 Highway 21, Suite 602, Madisonville, LA 70447-3407 2005-07-14
1124536552 Bio-medical Applications Louisiana, LLC Clinic/Center 397 Highway 21 Ste 602, Madisonville, LA 70447-3407 2018-01-19
1710212873 Abita Square Dialysis, LLC Clinic/Center 397 Highway 21, Suite 601, Madisonville, LA 70447-3407 2009-10-07
1639212129 Baptist Health Madisonville Inc Clinic/Center 900 Hospital Dr, Madisonville, KY 42431-1644 2007-02-14

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1982210050 Usrc Stephenville LLC Clinic/Center 942 Bluebonnet Dr, Stephenville, TX 76401-1764 2020-09-23
1801402979 Usrc Garland LLC Clinic/Center 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 2020-09-23
1003422171 Usrc Dialysis At Home West LLC Clinic/Center 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 2020-09-23
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1598383259 Dialysis Clinic Inc. Clinic/Center 6146 Wurzbach Road, San Antonio, TX 78238 2020-07-09
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Competitor

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City MADISONVILLE
Zip Code 77864

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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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