ATLANTIC DIALYSIS LLC (NPI# 1225573777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225573777 |
| Entity Type | Organization |
| Organization Name | ATLANTIC DIALYSIS LLC |
| Other Organization Name | MANKATO UPTOWN DIALYSIS |
| Practice Address |
1802 Commerce Dr North Mankato MN 56003-1800 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5073879095 |
| Practice Fax Number | 5073454947 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
|---|---|
| Mankato Uptown Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437694981 | Atlantic Dialysis LLC | Clinic/Center | 701 N Broadway St, New Ulm, MN 56073-1201 | 2016-12-19 |
| 1477996890 | Atlantic Dialysis LLC | Clinic/Center | 2004 Jefferson Rd, Northfield, MN 55057-3253 | 2013-04-16 |
| Street Address |
1802 COMMERCE DR |
| City | NORTH MANKATO |
| State | MN |
| Zip Code | 56003-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391796 | Chelsea Lynn Homan | Registered Nurse | 1961 Premier Dr #340, Mankato, MN 56003 | 2017-08-09 |
| 1700115649 | Oscar Donald Anderson | Ophthalmology | 2000 Roe Crest Dr, No Mankato, MN 56003 | 2009-12-23 |
| 1942434121 | Leah Rose Breit | Family Medicine | 1575 Lookout Drive, North Mankato, MN 56003 | 2009-05-04 |
| 1144792664 | Alexis Lise Cote-sands | Social Worker | 342 Belgrade Ave, North Mankato, MN 56003 | 2018-12-21 |
| 1164949863 | Ashlee Harriman | Physical Therapist | 1681 Commerce Dr, North Mankato, MN 56003 | 2017-08-24 |
| 1235685439 | Sagan Dobie | Physician Assistant | 1575 Lookout Dr, North Mankato, MN 56003 | 2016-08-28 |
| 1457687477 | Bridget Danielle Pollack-naber | Counselor | 360 Pierce Ave, Suite 209 Sioux Trails Mental Health Center, North Mankato, MN 56003 | 2009-10-27 |
| 1194884478 | Angela M Schuck | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-12-06 |
| 1881769198 | North Mankato Family Dentistry Pa | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-11-21 |
| 1740355064 | Keith P Flack | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-11-21 |
| Find all providers in zip 56003 | ||||
| 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 |
|---|---|---|---|---|
| 1770183832 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 6160 Summit Dr N Ste 150, Brooklyn Center, MN 55430-2118 | 2020-10-28 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1225541055 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 7433 Currell Blvd, Woodbury, MN 55125-2217 | 2017-11-15 |
| 1154856839 | Avera Marshall | Clinic/Center | 300 S Bruce St Ste D, Marshall, MN 56258-1934 | 2017-05-01 |
| 1437694981 | Atlantic Dialysis LLC | Clinic/Center | 701 N Broadway St, New Ulm, MN 56073-1201 | 2016-12-19 |
| 1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
| 1003292392 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 17592 Dodd Blvd, Lakeville, MN 55044-3909 | 2015-08-10 |
| 1629461470 | Babler Dialysis, LLC | Clinic/Center | 2660 S Broadway, Ste A, Rochester, MN 55904-6263 | 2015-03-17 |
| 1588067391 | Meesa Dialysis LLC | Clinic/Center | 245 Isle St W, Isle, MN 56342-4908 | 2014-10-07 |
| 1871995415 | Meesa Dialysis LLC | Clinic/Center | 30 25th Ave S, Saint Cloud, MN 56301-6285 | 2014-09-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MANKATO |
| Zip Code | 56003 |
Please comment or provide details below to improve the information on ATLANTIC 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.