DIALYSIS CARE CENTER MECHANICSBURG LLC (NPI# 1073966453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073966453 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CARE CENTER MECHANICSBURG LLC |
| Practice Address |
4 Flowers Dr Ste 1 Mechanicsburg PA 17050-1709 |
| Mailing Address |
Po Box 3134 Joliet IL 60434-3134 |
| Practice Telephone | 7177954665 |
| Practice Fax Number | 7177954984 |
| Mailing Telephone | 8157416830 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | MORUFU ALAUSA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8157416830 |
| 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 |
| Street Address |
4 FLOWERS DR STE 1 |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17050-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459381 | Agape Counseling of Central Penn | Counselor | 5249 Simpson Ferry Rd., Mechanicsburg, PA 17050 | 2019-07-24 |
| 1316590300 | Elizabeth Vanpelt | Social Worker | 2023 Mountain Pine Dr., Mechanicsburg, PA 17050 | 2019-07-19 |
| 1760967392 | Megan Michele Okafor | Family Medicine | 335 Lambs Gap Road, Mechanicsburg, PA 17050 | 2018-09-28 |
| 1962980300 | Biodxx, Inc. | Pathology | Biodxx Inc., 100 Bianca Court, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1871071217 | Biozt Corporation | Pathology | 100 Bianca Ct, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1699151183 | Barry Alan Wingard | Surgery | 1615 Jerusalem Road, Mechanicsburg, PA 17050 | 2015-08-06 |
| 1720488737 | Jonathan Thomas Milliron | Physical Therapist | 5103 Carliste Pike, Gilbert Physical Therapy Affiliate of Outpatient Physic, Mechanicsburg, PA 17050 | 2014-08-27 |
| 1952652554 | Behavioral Health PC | Counselor | 1229 Scenery Dr, Mechanicsburg, PA 17050 | 2012-09-24 |
| 1194091546 | John Clinton Stoner | Pediatrics | 5385 Rivendale Blvd., Mechanicsburg, PA 17050 | 2012-03-30 |
| 1922394634 | Mary Ann Nowak Stetz | Social Worker | 1016 Crystal Creek Circle, Mechanicsburg, PA 17050 | 2011-06-21 |
| Find all providers in zip 17050 | ||||
| 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 |
|---|---|---|---|---|
| 1225598782 | Hoven Dialysis LLC | Clinic/Center | 5072 Ritter Rd Ste 104, Mechanicsburg, PA 17055-4823 | 2019-03-21 |
| 1083677587 | Dca of Mechanicsburg LLC | Clinic/Center | 120 S Filbert St, Mechanicsburg, PA 17055-6539 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSBURG |
| Zip Code | 17050 |
Please comment or provide details below to improve the information on DIALYSIS CARE CENTER MECHANICSBURG 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.