USRC COVINGTON LLC (NPI# 1184154148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184154148 |
Entity Type | Organization |
Organization Name | USRC COVINGTON LLC |
Other Organization Name | U.S. RENAL CARE COVINGTON DIALYSIS |
Practice Address |
4179 Baker St Ne Covington GA 30014-1405 |
Mailing Address |
5851 Legacy Cir Ste 900 Plano TX 75024-5982 |
Practice Telephone | 7703854015 |
Practice Fax Number | 7703856701 |
Enumeration Date | 2017-06-13 |
Last Update Date | 2017-06-13 |
Authorized Official Name | THOMAS L WEINBERG (CHAIRMAN) |
Authorized Official Telephone | 2147362730 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, 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 |
Other Name | Type Code |
---|---|
U.S. Renal Care Covington Dialysis | Doing Business As Name - Organization |
Street Address |
4179 BAKER ST NE |
City | COVINGTON |
State | GA |
Zip Code | 30014-1405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699720011 | Dsi Renal Inc | Clinic/Center | 4179 Baker St Ne, Covington, GA 30014-1405 | 2006-05-24 |
1902189483 | Dialysis Newco Inc | Clinic/Center | 4179 Baker St Ne, Covington, GA 30014-1405 | 2011-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
Find all providers in zip 30014 |
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 |
---|---|---|---|---|
1952898801 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 117 Mall Rd, Covington, VA 24426-2413 | 2018-04-17 |
1881192540 | Isd Renal Inc | Clinic/Center | 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 | 2018-01-29 |
1508281817 | Shone Dialysis LLC | Clinic/Center | 10132 Carlin Dr, Covington, GA 30014-3651 | 2014-02-24 |
1063524825 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 170 Greenbrier Blvd, Covington, LA 70433-7233 | 2006-08-31 |
1619089422 | Bio-medical Applications of Georgia Inc. | Clinic/Center | 11415 Brown Bridge Rd, Covington, GA 30016-3360 | 2006-08-31 |
1023120854 | Bio-medical Applications of Georgia Inc | Clinic/Center | 7215 Industrial Blvd Ne, Covington, GA 30014-6329 | 2006-08-31 |
1114949005 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 2047 Highway 51 S, Covington, TN 38019-3631 | 2006-07-23 |
1699720011 | Dsi Renal Inc | Clinic/Center | 4179 Baker St Ne, Covington, GA 30014-1405 | 2006-05-24 |
1407810617 | Dva Healthcare Renal Care Inc | Clinic/Center | 2504 Valley Ridge Rd, Covington, VA 24426-6339 | 2006-04-14 |
1215990759 | Dva Healthcare Renal Care Inc | Clinic/Center | 107 Tennessee Ave, Covington, TN 38019-3902 | 2006-04-07 |
Find all providers in COVINGTON |
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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.