DIALYSIS CARE CENTER TIPTON COUNTY LLC (NPI# 1316390560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316390560 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CARE CENTER TIPTON COUNTY LLC |
| Practice Address |
1921 Highway 51 S Unit F Covington TN 38019-3659 |
| Mailing Address |
Po Box 3134 Joliet IL 60434-3134 |
| Practice Telephone | 9013139030 |
| Practice Fax Number | 9013139398 |
| Mailing Telephone | 8157416830 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | MORUFU ALAUSA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8157416830 |
| Authorized Official Credential | MD |
| 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 |
| Street Address |
1921 HIGHWAY 51 S UNIT F |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710285564 | Leigh Smith | Physical Therapist | 1921 Highway 51 S, Unit C & D, Covington, TN 38019-3659 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| 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 |
|---|---|---|---|---|
| 1952898801 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 117 Mall Rd, Covington, VA 24426-2413 | 2018-04-17 |
| 1881192540 | Isd Renal Inc | Clinic/Center | 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 | 2018-01-29 |
| 1508281817 | Shone Dialysis LLC | Clinic/Center | 10132 Carlin Dr, Covington, GA 30014-3651 | 2014-02-24 |
| 1063524825 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 170 Greenbrier Blvd, Covington, LA 70433-7233 | 2006-08-31 |
| 1619089422 | Bio-medical Applications of Georgia Inc. | Clinic/Center | 11415 Brown Bridge Rd, Covington, GA 30016-3360 | 2006-08-31 |
| 1023120854 | Bio-medical Applications of Georgia Inc | Clinic/Center | 7215 Industrial Blvd Ne, Covington, GA 30014-6329 | 2006-08-31 |
| 1114949005 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 2047 Highway 51 S, Covington, TN 38019-3631 | 2006-07-23 |
| 1699720011 | Dsi Renal Inc | Clinic/Center | 4179 Baker St Ne, Covington, GA 30014-1405 | 2006-05-24 |
| 1407810617 | Dva Healthcare Renal Care Inc | Clinic/Center | 2504 Valley Ridge Rd, Covington, VA 24426-6339 | 2006-04-14 |
| 1215990759 | Dva Healthcare Renal Care Inc | Clinic/Center | 107 Tennessee Ave, Covington, TN 38019-3902 | 2006-04-07 |
| Find all providers in COVINGTON | ||||
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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.