RAI CARE CENTERS OF ILLINOIS II, LLC (NPI# 1437244027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437244027 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF ILLINOIS II, LLC |
| Other Organization Name | RAI-CENTRE WEST-SPRINGFIELD |
| Practice Address |
1112 Centre West Drive Springfield IL 62704-2100 |
| Practice Telephone | 2177873310 |
| Practice Fax Number | 2177874762 |
| Mailing Telephone | 2177873310 |
| Mailing Fax Number | 2177874762 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-10-11 |
| Authorized Official Name | MR. MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
| Other Name | Type Code |
|---|---|
| RAI-Centre West-Springfield | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003919341 | Rai Care Centers of Illinois II, LLC | Clinic/Center | 527 Hamacher Road, Waterloo, IL 62298-6185 | 2006-09-05 |
| Street Address |
1112 CENTRE WEST DRIVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| 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 |
|---|---|---|---|---|
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1598212177 | Fresenius Medical Care Koke Mill, LLC | Clinic/Center | 2550 Koke Mill Dr., Springfield, IL 62707-9997 | 2016-09-01 |
| 1528444288 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3359 W Kearney St, Springfield, MO 65803-2008 | 2015-08-05 |
| 1922422112 | Fresenius Medical Care Dialysis Services Oregon LLC | Clinic/Center | 350 Q St, Springfield, OR 97477-2140 | 2014-02-10 |
| 1598016305 | Pacheco Dialysis LLC | Clinic/Center | 1007 E Kearney St, Springfield, MO 65803-3433 | 2012-09-20 |
| 1659654010 | Total Renal Care Inc | Clinic/Center | 2930 S 6th St, Springfield, IL 62703-5944 | 2011-09-22 |
| 1346535051 | National Trail Dialysis LLC | Clinic/Center | 171 S Tuttle Rd, Springfield, OH 45505-1560 | 2011-06-10 |
| 1093827891 | Qualicenters Eugene-springfield, Ltd. | Clinic/Center | 304 Q St, Springfield, OR 97477-2140 | 2006-08-31 |
| 1548372360 | Dialysis Associates, LLC | Clinic/Center | 106 Mooreland Dr, Springfield, TN 37172-3945 | 2006-08-31 |
| 1497867360 | Kdco, Inc. | Clinic/Center | 2003 E Sunshine St, Springfield, MO 65804-1839 | 2006-08-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on RAI CARE CENTERS OF ILLINOIS II, 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.