NRA MUNCIE INDIANA LLC (NPI# 1275693111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275693111 |
Entity Type | Organization |
Organization Name | NRA MUNCIE INDIANA LLC |
Other Organization Name | U.S. RENAL CARE NORTH MUNCIE DIALYSIS |
Practice Address |
2705 W North St Muncie IN 47303-3415 |
Mailing Address |
424 Church St Suite 1900 Nashville TN 37219-2301 |
Practice Telephone | 7657473020 |
Practice Fax Number | 3177411588 |
Mailing Telephone | 6152634518 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2016-03-31 |
Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, INC. |
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 | 200880860A | 05 | |
IN | CLIA CERT OF WAIVER | 15D1064293 | 01 |
Other Name | Type Code |
---|---|
U.S. Renal Care North Muncie Dialysis | Doing Business As Name - Organization |
Street Address |
2705 W NORTH ST |
City | MUNCIE |
State | IN |
Zip Code | 47303-3415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447516182 | Dialysis Newco, Inc. | Clinic/Center | 2705 W North St, Muncie, IN 47303-3415 | 2012-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
Find all providers in zip 47303 |
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 |
---|---|---|---|---|
1750705125 | Cardinal Dialysis LLC | Clinic/Center | 820 E Mcgalliard Rd, Muncie, IN 47303-2081 | 2014-02-06 |
1184874398 | Bio-medical Applications of Indiana, Inc. | Clinic/Center | 4021 W Kilgore Ave, Muncie, IN 47304-4815 | 2008-09-24 |
1063691665 | Nra Muncie North Indiana LLC | Clinic/Center | 3001 N Granville Ave, Muncie, IN 47303-2155 | 2007-10-31 |
1457372708 | Cardinal Health Systems | Clinic/Center | 3400 W Community Dr, Muncie, IN 47304-5459 | 2006-07-22 |
1417340787 | Total Renal Care Inc | Clinic/Center | 820 E Mcgalliard Rd, Muncie, IN 47303 | 2015-03-11 |
1447516182 | Dialysis Newco, Inc. | Clinic/Center | 2705 W North St, Muncie, IN 47303-3415 | 2012-04-06 |
1346516879 | Nra-muncie North Indiana LLC | Clinic/Center | 3001 N Granville Ave, Muncie, IN 47303-2155 | 2012-03-29 |
1588724439 | Nra-muncie (renaissance), Indiana, LLC | Clinic/Center | 3400 W Community Dr, Muncie, IN 47304-5459 | 2006-12-11 |
1730102757 | Cardinal Health Services | Clinic/Center | 2401 W University Ave, Muncie, IN 47303-3428 | 2006-07-25 |
1770562159 | Cardinal Health Systems, Inc | Clinic/Center | 2401 W University Ave, Muncie, IN 47303-3428 | 2006-01-13 |
Find all providers in MUNCIE |
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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.