NRA WINCHESTER INDIANA LLC (NPI# 1205996154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205996154 |
| Entity Type | Organization |
| Organization Name | NRA WINCHESTER INDIANA LLC |
| Other Organization Name | BALL DIALYSIS AT WINCHESTER |
| Practice Address |
409 Greenville Ave Winchester IN 47394-9436 |
| Mailing Address |
1550 W. Mcewen Drive Suite 500 Franklin TN 37067-1731 |
| Practice Telephone | 7655848000 |
| Practice Fax Number | 7655848008 |
| Mailing Telephone | 6156611100 |
| Mailing Fax Number | 6155073300 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | MR. JON M. SUNDOCK (VICE PRESIDENT) |
| Authorized Official Telephone | 6155073307 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CLIA CERT OF WAIVER | 15D0999746 | 01 |
| Other Name | Type Code |
|---|---|
| Ball Dialysis at Winchester | Doing Business As Name - Organization |
| Street Address |
409 GREENVILLE AVE |
| City | WINCHESTER |
| State | IN |
| Zip Code | 47394-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053889113 | Kristen Michelle Bogue | Nurse Practitioner | 910 E Washingon Street Suite 2, Winchester, IN 47394 | 2018-11-07 |
| 1972043305 | Lacie Shae Burge | Nurse Practitioner | 400 South Oak Street, Randolph Medical Center, Winchester, IN 47394 | 2017-03-04 |
| 1598018913 | Taylor L Stephens | Social Worker | 325 S Oak St, 103, Winchester, IN 47394 | 2012-10-23 |
| 1518189323 | Cari Prinkey | Pharmacist | 473 Greenville Avenue, Winchester, IN 47394 | 2007-05-02 |
| 1083708432 | Help-call & Rescue | Home Health | 605 West Newton, Winchester, IN 47394 | 2006-10-02 |
| 1184031932 | Pauletta J Hummel | Nurse Practitioner | 473 E Greenville Ave, Winchester, IN 47394 | 2014-07-14 |
| 1548582950 | Samantha M Morris | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2010-02-26 |
| 1043291206 | Gregory Paul Calkins | Emergency Medicine | 473 E Greenville Ave, Winchester, IN 47394 | 2005-11-07 |
| 1649271693 | S Kathryn Joyner | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2005-08-02 |
| 1184874331 | Dianna L. Naylor | Counselor | 730 W Washington St, Winchester, IN 47394-1425 | 2008-09-24 |
| Find all providers in zip 47394 | ||||
| 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 |
|---|---|---|---|---|
| 1205212784 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 38 Jubal Early Drive, Winchester, VA 22601-6302 | 2015-08-06 |
| 1720228059 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1145 Lexington Ave., Winchester, KY 40391-1134 | 2009-02-26 |
| 1063459980 | Total Renal Care Inc | Clinic/Center | 2301 Valor Dr, Winchester, VA 22601-6111 | 2006-05-31 |
| 1023065869 | Dialysis Associates, LLC | Clinic/Center | 359 Old Mill Rd, Winchester, TN 37398-2444 | 2006-05-27 |
| 1881047637 | Total Renal Care, Inc. | Clinic/Center | 141 Market St, Winchester, VA 22603-4750 | 2016-07-18 |
| 1881615078 | Cardinal Health Systems | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
| City | WINCHESTER |
| Zip Code | 47394 |
Please comment or provide details below to improve the information on NRA WINCHESTER INDIANA 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.