BLUEGRASS DIALYSIS LLC (NPI# 1194998013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194998013 |
Entity Type | Organization |
Organization Name | BLUEGRASS DIALYSIS LLC |
Other Organization Name | WILLIAMSTOWN DIALYSIS |
Practice Address |
103 Barnes Rd Ste A Williamstown KY 41097-9468 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 8598230500 |
Practice Fax Number | 8598230588 |
Mailing Telephone | 6152383051 |
Mailing Fax Number | 8002468346 |
Enumeration Date | 2008-04-11 |
Last Update Date | 2019-08-08 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER, TREASURER) |
Authorized Official Telephone | 2537334500 |
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 |
300202 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100061350 | 05 |
Other Name | Type Code |
---|---|
Williamstown Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255566444 | Bluegrass Dialysis LLC | Clinic/Center | 1500 James Simpson Jr Way, Ste 1100, Covington, KY 41011-0801 | 2009-05-18 |
Street Address |
103 BARNES RD STE A |
City | WILLIAMSTOWN |
State | KY |
Zip Code | 41097-9468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487876579 | Amanda Howell Winters | Chiropractor | 103 Barnes Rd, Suite E, Williamstown, KY 41097-9468 | 2007-05-02 |
1891233888 | Amanda Howell Dc Pllc | Chiropractor | 103 Barnes Rd, Suite E, Williamstown, KY 41097-9468 | 2017-02-09 |
1154663565 | Williamstown Chiropractic Center LLC | Chiropractor | 103 Barnes Rd, Suite E, Williamstown, KY 41097-9468 | 2013-03-23 |
1184906935 | Alice Jeanne Heeger-hartman | Chiropractor | 103 Barnes Rd, Suite E, Williamstown, KY 41097-9468 | 2011-09-16 |
1326009358 | Rotherts Hospital Equipment Inc | Durable Medical Equipment & Medical Supplies | 103 Barnes Rd, Suite I, Williamstown, KY 41097-9468 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982974044 | Brenda Jean Snow | Occupational Therapy Assistant | 201 Kimberly Lane, Williamstown, KY 41097 | 2012-01-06 |
1215121272 | Air Evac Ems Inc. | Ambulance | 110 Mercedes Dr, Williamstown, KY 41097 | 2007-09-04 |
1184782690 | Foot Specialists of Greater Cincinnati | Podiatrist | 238 Barnes Road, St Elizabeth Grant County, Williamstown, KY 41097 | 2006-12-05 |
1972549202 | Michelle L Napier | Nurse Practitioner | 300 Helton Street, Williamstown, KY 41097 | 2006-06-22 |
1902892136 | Robert William Noelker | Psychologist | 1406 N Main Street, Williamstown, KY 41097 | 2005-09-22 |
1447598586 | Orthocincy | Orthopaedic Surgery | 238 Barnes Rd, Williamstown, KY 41097 | 2013-01-24 |
1174780647 | St Elizabeth Medical Center, Inc | Clinical Medical Laboratory | 238 Barnes Rd, Williamstown, KY 41097 | 2008-05-21 |
1902092208 | Midlands Behavioral Medicine | Psychologist | 1406 N Main Street, Williamstown, KY 41097 | 2007-09-20 |
1386727907 | Mindy Craft | Psychologist | 308 Barnes Pike, Williamstown, KY 41097 | 2006-10-24 |
1225063837 | Nicole Writh | Technician, Other | 308 Barnes Pike, Williamstown, KY 41097 | 2006-07-11 |
Find all providers in zip 41097 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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---|---|---|---|---|
1003474685 | Ellmac Dialysis LLC | Clinic/Center | 1217 S. Black Horse Pike, Williamstown, NJ 08094-1958 | 2019-05-30 |
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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 |
1467978791 | Total Renal Care Inc | Clinic/Center | 737 Dishman Lane Ext, Bowling Green, KY 42104-3898 | 2017-08-18 |
1831615434 | Fresenius Medical Care Stanford, LLC | Clinic/Center | 29 Frontier Blvd, Stanford, KY 40484-8513 | 2017-08-16 |
Find all providers with the same taxonomy |
City | WILLIAMSTOWN |
Zip Code | 41097 |
Please comment or provide details below to improve the information on BLUEGRASS DIALYSIS 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.