CHERRY VALLEY DIALYSIS LLC (NPI# 1194970699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194970699 |
Entity Type | Organization |
Organization Name | CHERRY VALLEY DIALYSIS LLC |
Other Organization Name | CHERRY VALLEY DIALYSIS |
Practice Address |
1627 W Main St Newark OH 43055-1345 |
Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
Practice Telephone | 7405221699 |
Practice Fax Number | 7405221555 |
Mailing Telephone | 6153204521 |
Mailing Fax Number | 8665942894 |
Enumeration Date | 2008-11-25 |
Last Update Date | 2009-10-26 |
Authorized Official Name | JIM HILGER (VICE PRESIDENT) |
Authorized Official Telephone | 2533821919 |
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 |
---|---|
Cherry Valley Dialysis | Doing Business As Name - Organization |
Street Address |
1627 W MAIN ST |
City | NEWARK |
State | OH |
Zip Code | 43055-1345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801117429 | Total Renal Care Inc | Clinic/Center | 1627 W Main St, Newark, OH 43055-1345 | 2010-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
Find all providers in zip 43055 |
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 |
---|---|---|---|---|
1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
1841702578 | Bio Medical Applications of New Jersey, Inc. | Clinic/Center | 415 Elizabeth Avenue, Newark, NJ 07112-2668 | 2017-11-03 |
1578087508 | Freedom Center of Newark, LLC | Clinic/Center | 305 W Shore Blvd, Newark, NY 14513-1261 | 2017-08-01 |
1003249137 | American Universal LLC | Clinic/Center | 1415 Pulaski Hwy, Suite B, Newark, DE 19702-5104 | 2013-08-13 |
1679913875 | New York Dialysis Services, Inc. | Clinic/Center | 305 West Shore Blvd., Newark, NY 14513-1261 | 2013-07-02 |
1598044323 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 4923 Ogletown Stanton Rd Ste 210, Newark, DE 19713-2081 | 2011-08-10 |
1801024096 | Renal Care Group Maplewood, LLC | Clinic/Center | 248 South Street, Newark, NJ 07114-2911 | 2009-06-25 |
1205930070 | Bio Medical Applications of New Jersey, Inc. | Clinic/Center | 155 Berkeley Ave, Newark, NJ 07107-2634 | 2006-09-12 |
1659475424 | National Medical Care, Inc. | Clinic/Center | 63 University Plz, Newark, DE 19702-1549 | 2006-09-12 |
1023112893 | Bio-medical Applications of New Jersey, Inc. | Clinic/Center | 91-101 Hartford St, Newark, NJ 07103-2833 | 2006-09-12 |
Find all providers in NEWARK |
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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.