RENAL CENTER OF WEST BEAUMONT, LLC (NPI# 1356610844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356610844 |
| Entity Type | Organization |
| Organization Name | RENAL CENTER OF WEST BEAUMONT, LLC |
| Other Organization Name | GOLDEN TRIANGLE DIALYSIS |
| Practice Address |
1020 North 14th Street Beaumont TX 77707-1103 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 4098328423 |
| Practice Fax Number | 4098328431 |
| Mailing Telephone | 6153416764 |
| Mailing Fax Number | 8337816999 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | JOHN 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 305689701 | 05 |
| Other Name | Type Code |
|---|---|
| GOLDEN TRIANGLE DIALYSIS | Doing Business As Name - Organization |
| Street Address |
1020 NORTH 14TH STREET |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| 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 |
|---|---|---|---|---|
| 1699928457 | Rai Care Centers of Southern California II LLC | Clinic/Center | 1536 E 6th Street, Beaumont, CA 92223-2508 | 2008-10-24 |
| 1285746156 | Renal Care Group-beaumont, L.p. | Clinic/Center | 3740 Laurel St, Beaumont, TX 77707-2218 | 2006-08-31 |
| 1538271416 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 3965 Phelan Blvd Ste 200, Beaumont, TX 77707-2232 | 2006-08-31 |
| 1245346048 | Beaumont-ara Dialysis L.l.p. | Clinic/Center | 1085 S 23rd St, Beaumont, TX 77707-4201 | 2006-08-22 |
| 1598879827 | Biotronics Kidney Center of Beaumont Inc | Clinic/Center | 2755 Liberty St, Beaumont, TX 77702-1812 | 2006-08-17 |
| 1124532023 | Bio-medical Applications of Texas, Inc | Clinic/Center | 2755 Liberty St, Beaumont, TX 77702-1812 | 2017-11-30 |
| 1982973483 | Renal Center of Beaumont, LLC | Clinic/Center | 3050 Liberty St, Beaumont, TX 77702-1846 | 2011-12-29 |
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| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
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| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| 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.