LEXINGTON DIALYSIS CENTER OF WAKE FOREST UNIVERSITY (NPI# 1366429334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366429334 |
| Entity Type | Organization |
| Organization Name | LEXINGTON DIALYSIS CENTER OF WAKE FOREST UNIVERSITY |
| Other Organization Name | LEXINGTON DIALYSIS CENTER |
| Practice Address |
233 Anna Lewis Dr Lexington NC 27292-6711 |
| Mailing Address |
Po Box 7710 Tifton GA 31793-7710 |
| Practice Telephone | 3362486808 |
| Practice Fax Number | 3362488160 |
| Mailing Telephone | 2293873527 |
| Mailing Fax Number | 2293862149 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | TERRY L HALES JR. (ASSISTANT TREASURER) |
| Authorized Official Telephone | 3367163003 |
| 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 |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS-NC | 0055K | 01 |
| NC | 3412553 | 05 |
| Other Name | Type Code |
|---|---|
| Lexington Dialysis Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEXINGTON DIALYSIS CENTER OF WAKE FOREST UNIVERSITY | 233 Anna Lewis Dr, Lexington, NC 27292-6711 |
| Street Address |
233 ANNA LEWIS DR |
| City | LEXINGTON |
| State | NC |
| Zip Code | 27292-6711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1669756979 | Beth A Burns | Counselor | 19 E 2nd Ave Ste C, Lexington, NC 27292 | 2011-10-05 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1861675357 | High Rock Internal Medicine, Pa | Internal Medicine | 104 W. Medical Park Dr., Lexington, NC 27292 | 2007-12-07 |
| 1225229214 | Beatriz R. Aguero, Dds & Associates Iv, Pa | Dentist | 230 Lowes Blvd, Leexington, NC 27292 | 2007-08-06 |
| Find all providers in zip 27292 | ||||
| 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 |
|---|---|---|---|---|
| 1730644246 | Lanier Dialysis, LLC | Clinic/Center | 5552 Platt Springs Rd, Lexington, SC 29073-7518 | 2019-02-08 |
| 1932604527 | Isd Renal Inc | Clinic/Center | 5506 Platt Springs Rd, Lexington, SC 29073-7518 | 2018-03-27 |
| 1518327048 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 978 Chas Dr, Lexington, KY 40515-1414 | 2016-02-25 |
| 1710327820 | Total Renal Care Inc | Clinic/Center | 2130 Nicholasville Rd Ste 5, Lexington, KY 40503-2520 | 2013-07-03 |
| 1881925790 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 3284 Eagle View Ln Ste 120, Lexington, KY 40509-1851 | 2010-01-18 |
| 1144465360 | Lexington Dialysis LLC | Clinic/Center | 1745 Alysheba Way, Lexington, KY 40509-9013 | 2008-12-03 |
| 1306916028 | Lexington Clinic Kidney Center | Clinic/Center | 350 Elaine Dr, Suite 200, Lexington, KY 40504-2741 | 2006-11-09 |
| 1619089430 | Kentucky Renal Care Group, LLC | Clinic/Center | 1610 Leestown Rd, Lexington, KY 40511-2142 | 2006-08-31 |
| 1073530713 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 131 Whispering Winds Dr, Lexington, SC 29072-3869 | 2006-07-17 |
| 1770516254 | Dialysis Clinic Inc. | Clinic/Center | 870 W Church St, Suite C, Lexington, TN 38351-1741 | 2006-07-08 |
| Find all providers in LEXINGTON | ||||
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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.