VERSAILLES DIALYSIS LLC (NPI# 1316375520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316375520 |
| Entity Type | Organization |
| Organization Name | VERSAILLES DIALYSIS LLC |
| Other Organization Name | ROCKINGHAM COUNTY DIALYSIS |
| Practice Address |
18 Pelham Rd Ste 1 Salem NH 03079-4818 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6038709487 |
| Practice Fax Number | 6038709498 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | JOHN D 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 |
04023 | NH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3100952 | 05 |
| Other Name | Type Code |
|---|---|
| Rockingham County Dialysis | Doing Business As Name - Organization |
| Street Address |
18 PELHAM RD STE 1 |
| City | SALEM |
| State | NH |
| Zip Code | 03079-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982662052 | Parkland Physician Services Inc | Internal Medicine | 18 Pelham Rd, Salem, NH 03079-4818 | 2006-05-01 |
| 1659414589 | Parkland Physician Services Inc | Hospitalist | 18 Pelham Rd, Salem, NH 03079-4818 | 2007-02-14 |
| 1093753881 | Parkland Physician Services, Inc. | Specialist | 18 Pelham Rd, Salem, NH 03079-4818 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| 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 |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1992223556 | Wakonda Dialysis LLC | Clinic/Center | 555 W State Road 164 Ste 101, Salem, UT 84653-5732 | 2017-09-05 |
| 1215485883 | Belmont Dialysis LLC | Clinic/Center | 3737 W Main St Ste 103, Salem, VA 24153-2073 | 2016-09-13 |
| 1821463555 | Total Renal Care Inc | Clinic/Center | 421 Lancaster Dr Ne, Salem, OR 97301-4729 | 2015-12-07 |
| 1891120812 | Bio-medical Applications of New Hampshire, Inc. | Clinic/Center | 19 Keewaydin Dr Ste A, Salem, NH 03079-4891 | 2013-09-10 |
| 1194066878 | Total Renal Care Inc | Clinic/Center | 4792 Portland Rd Ne, Salem, OR 97305-3920 | 2013-03-06 |
| 1942531843 | Renal Care Group Eastern Ohio, LLC | Clinic/Center | 2345 E Pershing St, Salem, OH 44460-3400 | 2010-01-18 |
| 1376784579 | New Springs Dialysis LLC | Clinic/Center | 1201 N Jim Day Rd, Ste 103, Salem, IN 47167-7219 | 2009-03-18 |
| 1376799957 | Fresenius Medical Care Dialysis Services-oregon, LLC | Clinic/Center | 1060 2nd St Nw, Salem, OR 97304 | 2008-08-14 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on VERSAILLES 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.