GROVE DIALYSIS LLC (NPI# 1124303078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124303078 |
Entity Type | Organization |
Organization Name | GROVE DIALYSIS LLC |
Other Organization Name | DIALYSIS OF WARREN COUNTY |
Practice Address |
391 Suwannee Trail St Bowling Green KY 42103-7956 |
Mailing Address |
5200 Virginia Way L&c Dept-suite 400 Brentwood TN 37027-7569 |
Practice Telephone | 2707465374 |
Practice Fax Number | 2707465375 |
Mailing Telephone | 6153416789 |
Enumeration Date | 2011-10-11 |
Last Update Date | 2011-10-11 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2532809501 |
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 |
Other Name | Type Code |
---|---|
Dialysis of Warren County | Doing Business As Name - Organization |
Street Address |
391 SUWANNEE TRAIL ST |
City | BOWLING GREEN |
State | KY |
Zip Code | 42103-7956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861861411 | Total Renal Care Inc | Clinic/Center | 391 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2015-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
Find all providers in zip 42103 |
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 |
---|---|---|---|---|
1467978791 | Total Renal Care Inc | Clinic/Center | 737 Dishman Lane Ext, Bowling Green, KY 42104-3898 | 2017-08-18 |
1477825370 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 262 Natchez Trace Ave, Bowling Green, KY 42103-7995 | 2012-02-08 |
1811092109 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 102 Broaddus Avenue, Bowling Green, VA 22427 | 2006-09-13 |
1912930397 | Dialysis Clinic Inc. | Clinic/Center | 4 Town Center Dr Ste F, Bowling Green, MO 63334 | 2006-07-08 |
1225091846 | Dca of Toledo LLC | Clinic/Center | 1037 Conneaut Ave, Bowling Green, OH 43402-5302 | 2006-04-07 |
1578938098 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1834 Lyda Ave, Bowling Green, KY 42104-3361 | 2015-12-09 |
1861861411 | Total Renal Care Inc | Clinic/Center | 391 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2015-09-24 |
1023456787 | Dialysis Clinic Inc. | Clinic/Center | 1015 W Adams St, Bowling Green, MO 63334-1974 | 2013-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962000232 | Fresenius Medical Care Kentuckiana Ht, LLC | Clinic/Center | 6400 Dutchmans Pkwy Ste 145, Louisville, KY 40205-3342 | 2020-10-09 |
1659988970 | Dialyze Direct Ky, LLC | Clinic/Center | 9780 Ormsby Station Rd Ste 1200, Louisville, KY 40223-4049 | 2020-09-30 |
1922637529 | Total Renal Care, Inc. | Clinic/Center | 601 Chamberlin Ave, Frankfort, KY 40601-4220 | 2020-04-06 |
1629602727 | Pure Life Renal of Louisville, LLC | Clinic/Center | 3935 Taylorsville Rd, Louisville, KY 40220-1455 | 2020-02-27 |
1407496557 | Total Renal Care, Inc. | Clinic/Center | 310n L Rogers Wells Bldv, Glasgow, KY 42141-1300 | 2020-01-07 |
1093213902 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1715 Gagel Ave, Louisville, KY 40216-2763 | 2018-01-25 |
1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
1811414980 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 23 A St Ste A, Louisa, KY 41230-6001 | 2017-08-29 |
1831615434 | Fresenius Medical Care Stanford, LLC | Clinic/Center | 29 Frontier Blvd, Stanford, KY 40484-8513 | 2017-08-16 |
1417484767 | Dialysis Clinic Inc | Clinic/Center | 150 War Admiral Ste 4, Danville, KY 40422-8690 | 2017-05-17 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42103 |
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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.