RAINER DIALYSIS LLC (NPI# 1245580570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245580570 |
Entity Type | Organization |
Organization Name | RAINER DIALYSIS LLC |
Other Organization Name | SOUTH CITY DIALYSIS |
Practice Address |
3740 S Jefferson Ave Saint Louis MO 63118-3905 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 3146646687 |
Practice Fax Number | 3147721614 |
Mailing Telephone | 6153416264 |
Mailing Fax Number | 8002972925 |
Enumeration Date | 2012-09-13 |
Last Update Date | 2020-07-01 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1245580570 | 05 |
Other Name | Type Code |
---|---|
South City Dialysis | Doing Business As Name - Organization |
Street Address |
3740 S JEFFERSON AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63118-3905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
Find all providers in zip 63118 |
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 |
---|---|---|---|---|
1871049411 | Total Renal Care Inc | Clinic/Center | 8980 Natural Bridge Rd, Saint Louis, MO 63121-3917 | 2016-09-01 |
1295139459 | Meadows Dialysis LLC | Clinic/Center | 1554 Sierra Vista Plz, Saint Louis, MO 63138-2040 | 2014-10-17 |
1881980498 | Tugman Dialysis LLC | Clinic/Center | 10241 Lewis and Clark Blvd, Saint Louis, MO 63136-5505 | 2011-06-22 |
1497074520 | Gateway St Louis Dialysis LLC | Clinic/Center | 4100 Union Blvd, Saint Louis, MO 63115-1225 | 2010-05-28 |
1316173966 | Total Renal Care Inc | Clinic/Center | 3660 Gustine Ave, Saint Louis, MO 63116-3617 | 2009-06-09 |
1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
1982764387 | Saint Louis Renal Care, LLC | Clinic/Center | 5901 Delmar Blvd, Saint Louis, MO 63112-2028 | 2006-12-08 |
1598867772 | Saint Louis Renal Care, LLC | Clinic/Center | Drummond Hall, 3691 Rutger, Suite 222, Saint Louis, MO 63110 | 2006-09-01 |
1457463325 | Metro Dialysis Center - Normandy, Inc. | Clinic/Center | 101 N Oaks Plz, Saint Louis, MO 63121-2925 | 2006-08-31 |
1841302718 | Renex Dialysis Clinic of St. Louis, Inc. | Clinic/Center | 4030 Chouteau Ave, Saint Louis, MO 63110-1754 | 2006-08-31 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63118 |
Please comment or provide details below to improve the information on RAINER 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.