STAR DIALYSIS LLC (NPI# 1306077680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306077680 |
| Entity Type | Organization |
| Organization Name | STAR DIALYSIS LLC |
| Other Organization Name | ROGUE VALLEY DIALYSIS |
| Practice Address |
760 Golf View Dr Unit 100 Medford OR 97504-9685 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5417764805 |
| Practice Fax Number | 5417736016 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500617226 | 05 |
| Other Name | Type Code |
|---|---|
| Rogue Valley Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1518409465 | Star Dialysis LLC | Residential Treatment Facility, Physical Disabilities | 4145 Lake Meadow Dr, Racine, WI 53402-5321 | 2016-11-09 |
| 1720219017 | Star Dialysis LLC | Clinic/Center | 201 Sw L St, Grants Pass, OR 97526-2913 | 2009-08-04 |
| 1952740672 | Star Dialysis LLC | Clinic/Center | 1055 Redwood Ave, Grants Pass, OR 97527-5525 | 2013-06-15 |
| Street Address |
760 GOLF VIEW DR UNIT 100 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-9685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629196381 | Robin Miller | Internal Medicine | 760 Golf View Dr, Medford, OR 97504-9685 | 2007-03-27 |
| 1447401500 | Nicole Lee Mcclelland | Nurse Practitioner | 760 Golf View Dr, Suite # 200, Medford, OR 97504-9685 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1447269154 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 305 Mystic Ave, Medford, MA 02155-6313 | 2006-08-05 |
| 1487682134 | Huntington Artificial Kidney Center Ltd | Clinic/Center | 1725 N Ocean Ave, Medford, NY 11763-2649 | 2006-06-30 |
| 1891754883 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 10 Cabot Rd, Ste 103b, Medford, MA 02155-5275 | 2006-03-20 |
| 1265697692 | Davita of New York Inc | Clinic/Center | 1725 N Ocean Ave, Medford, NY 11763-2649 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652569 | Harpett Dialysis, LLC | Clinic/Center | 61280 Se Coombs Pl, Bend, OR 97702-3704 | 2019-04-10 |
| 1528529989 | Pacific Dialysis LLC | Clinic/Center | 1935 Thompson Rd, Coos Bay, OR 97420-2040 | 2019-03-28 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1922522432 | Garson Dialysis, LLC | Clinic/Center | 6828 Se Foster Rd, Portland, OR 97206-4546 | 2017-07-27 |
| 1407378532 | Rose City Dialysis LLC | Clinic/Center | 7474 Ne M L King Blvd, Portland, OR 97211-2828 | 2017-07-11 |
| 1215397534 | Rose City Dialysis, LLC | Clinic/Center | 4905 Ne Ml King Blvd, Portland, OR 97211-3353 | 2016-02-29 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1821463555 | Total Renal Care Inc | Clinic/Center | 421 Lancaster Dr Ne, Salem, OR 97301-4729 | 2015-12-07 |
| 1144627720 | Fresenius Medical Care Dialysis Services-oregon LLC | Clinic/Center | 1077 Sw Highway 97, Madras, OR 97741-9249 | 2014-11-26 |
| Find all providers with the same taxonomy | ||||
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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.