DIALYSIS SERVICES OF DECATUR LLC (NPI# 1396270906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396270906 |
| Entity Type | Organization |
| Organization Name | DIALYSIS SERVICES OF DECATUR LLC |
| Practice Address |
2705 Highway 31 S Decatur AL 35603-1507 |
| Mailing Address |
1601 6th Ave Se Decatur AL 35601-4919 |
| Practice Telephone | 2563508882 |
| Practice Fax Number | 2563508761 |
| Mailing Telephone | 2563508882 |
| Mailing Fax Number | 2563508761 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | MR. WILLIAM E WOOD II (PRESIDENT) |
| Authorized Official Telephone | 6153273061 |
| 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 |
2705 HIGHWAY 31 S |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| 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 |
|---|---|---|---|---|
| 1871080465 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 5360 Snapfinger Woods Dr Ste 102, Decatur, GA 30035-4046 | 2018-04-18 |
| 1760839922 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2834 Spring Ave Sw, Decatur, AL 35603-1218 | 2016-05-18 |
| 1295108983 | Total Renal Care Inc | Clinic/Center | 2442 Wesley Chapel Rd, Decatur, GA 30035-3420 | 2015-11-04 |
| 1942672423 | Odiorne Dialysis LLC | Clinic/Center | 2460 Wesley Chapel Rd, Ste 25d, Decatur, GA 30035-3420 | 2015-10-23 |
| 1699165290 | Dsi Dekalb, LLC | Clinic/Center | 4570 Memorial Dr Ste B, Decatur, GA 30032-1444 | 2015-02-03 |
| 1972746204 | Emory Dialysis, LLC | Clinic/Center | 2726 Candler Rd, Decatur, GA 30034-1410 | 2009-04-16 |
| 1962676155 | Total Renal Care Inc | Clinic/Center | 5255 Snapfinger Park Dr Ste 115, Decatur, GA 30035-4066 | 2008-04-17 |
| 1871712927 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2721 Irvin Way, Decatur, GA 30030-1720 | 2007-04-25 |
| 1730242538 | Decatur Hospital Authority | Clinic/Center | 2150 S Fm 51, Decatur, TX 76234 | 2006-12-19 |
| 1932211760 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 497 Winn Way Ste 160, Decatur, GA 30030-1701 | 2006-08-31 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on DIALYSIS SERVICES OF DECATUR 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.