HUGO DIALYSIS, LLC


Address: 11000 Old Denton Rd, Fort Worth, TX 76244-5407
Phone: 8173375483

HUGO DIALYSIS, LLC (NPI# 1235538299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235538299
Entity Type Organization
Organization Name HUGO DIALYSIS, LLC
Other Organization Name KELLER DIALYSIS
Practice Address 11000 Old Denton Rd
Fort Worth
TX 76244-5407
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 8173375483
Practice Fax Number 8174319475
Mailing Telephone 6153416764
Mailing Fax Number 8337816999
Enumeration Date 2014-08-15
Last Update Date 2020-05-11
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
110290 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 365973201 05

Other Provider/Organization Names

Other Name Type Code
Keller Dialysis Doing Business As Name - Organization

Office Location

Street Address 11000 OLD DENTON RD
City FORT WORTH
State TX
Zip Code 76244-5407

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1194296202 Fresenius Medical Care Keller, LLC Clinic/Center 3700 N Tarrant Pkwy, Fort Worth, TX 76177 2018-12-16
1992213078 Fresenius Medical Care Se Fort Worth, LLC Clinic/Center 3708 E Rosedale St, Fort Worth, TX 76105 2018-01-11
1184024770 Kerricher Dialysis, LLC Clinic/Center 2400 Lands End Blvd, Ste 131, Fort Worth, TX 76116-2170 2014-09-02
1659771624 Headlands Dialysis, LLC Clinic/Center 5832 S Hulen St, Fort Worth, TX 76132-2684 2014-08-27
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1528480837 Usrc Bryant Irvin, LLC Clinic/Center 5729 Bryant Irvin Rd, Fort Worth, TX 76132 2014-01-07
1730517541 North Arlington Dialysis Center LLC Clinic/Center 1451 Eastchase Pkwy, Fort Worth, TX 76120-4403 2013-10-15
1770915217 Renal Center of Keller, LLC Clinic/Center 10708 Victoria Ash Dr, Fort Worth, TX 76244-6392 2013-08-07
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Competitor

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City FORT WORTH
Zip Code 76244

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Dataset Information

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.

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