TARLETON DIALYSIS LLC (NPI# 1245721398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245721398 |
| Entity Type | Organization |
| Organization Name | TARLETON DIALYSIS LLC |
| Other Organization Name | CANUTILLO DIALYSIS |
| Practice Address |
7251 S Desert Blvd El Paso TX 79835-2200 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 9158774900 |
| Mailing Telephone | 6153204224 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER/INTERIMCFO) |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Canutillo Dialysis | Doing Business As Name - Organization |
| Street Address |
7251 S DESERT BLVD |
| City | EL PASO |
| State | TX |
| Zip Code | 79835-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676723 | Araceli Daniela Locatelli | Behavior Technician | 6969 Fourth St., Canutillo, TX 79835 | 2019-05-29 |
| 1205208501 | Lorena Trevizo | Student in an Organized Health Care Education/Training Program | 6845 Doniphan, Canutillo, TX 79835 | 2015-10-26 |
| 1073993184 | Project Vida Health Center | Clinic/Center | 7000 E. 5th Street, Canutillo, TX 79835 | 2015-06-03 |
| 1487062212 | Maricela Hernandez | Dentist | 1713 Banker Road, Canutillo, TX 79835 | 2014-07-24 |
| 1861701484 | Northwest Community Health Center | Family Medicine | 7065 Second St, Canutillo, TX 79835 | 2010-09-30 |
| 1972837250 | Gabriela Villaneda | Speech-Language Pathologist | 1117 Tiffany Rd, 1117 Tiffany, Canutillo, TX 79835 | 2009-09-19 |
| 1932353257 | Chetan Shivaram Dds P.c | Dentist | 6821 Doniphan Dr, Canutillo, TX 79835 | 2008-11-13 |
| 1053430736 | Lauro Joseph Bustamante | Counselor | 6621 Doniphan, Canutillo, TX 79835 | 2007-03-27 |
| 1265566541 | Centro De Salud Familiar La Fe, Inc. | Clinic/Center | 1713 Banker Rd., El Paso, TX 79835 | 2007-03-16 |
| 1508957549 | Arthur Lee Daniel Jr. | Pharmacy | 6898 Doniphan, Canutillo, TX 79835 | 2006-09-27 |
| Find all providers in zip 79835 | ||||
| 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 |
|---|---|---|---|---|
| 1568945889 | El Paso Health II LLC | Clinic/Center | 1120 Mcrae Blvd Bldg D, El Paso, TX 79925-7642 | 2018-09-12 |
| 1194229096 | Fresenius Medical Care El Paso Transmountain, LLC | Clinic/Center | 10112 Dyer Street, El Paso, TX 79924-4246 | 2018-03-23 |
| 1528566692 | El Paso Health LLC | Clinic/Center | 2400 N Oregon St Ste C, El Paso, TX 79902-3135 | 2018-01-24 |
| 1851828552 | Hays Dialysis LLC | Clinic/Center | 5612 Dyer St, El Paso, TX 79904-6242 | 2017-05-12 |
| 1942737754 | Roland Dialysis LLC | Clinic/Center | 7281 Alameda Ave, El Paso, TX 79915-3503 | 2017-05-11 |
| 1811359698 | Fresenius Medical Care El Paso West, LLC | Clinic/Center | 1430 Nortwestern Drive, El Paso, TX 79912 | 2016-03-22 |
| 1306215967 | Dsi El Paso North, LLC | Clinic/Center | 3359 Fred Wilson Avenue, El Paso, TX 79904 | 2015-09-24 |
| 1467843144 | Mashero Dialysis LLC | Clinic/Center | 2204 Joe Battle Blvd Ste A, El Paso, TX 79938-4660 | 2015-02-17 |
| 1215343215 | Stevenson Dialysis, LLC | Clinic/Center | 1310 Murchison Dr Ste C, El Paso, TX 79902-4821 | 2014-07-10 |
| 1467759183 | Brantley Dialysis LLC | Clinic/Center | 12249 Rojas Dr, El Paso, TX 79928-7750 | 2011-02-15 |
| Find all providers in EL PASO | ||||
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| 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.