BIDWELL DIALYSIS LLC


Address: 201 S Jupiter Rd, Allen, TX 75002-3035
Phone: 4693426709

BIDWELL DIALYSIS LLC (NPI# 1437403870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437403870
Entity Type Organization
Organization Name BIDWELL DIALYSIS LLC
Other Organization Name ALLEN DIALYSIS
Practice Address 201 S Jupiter Rd
Allen
TX 75002-3035
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 4693426709
Practice Fax Number 4693426398
Mailing Telephone 6153416764
Mailing Fax Number 8337816999
Enumeration Date 2012-11-07
Last Update Date 2019-05-23
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
TX 3398471-01 05

Other Provider/Organization Names

Other Name Type Code
Allen Dialysis Doing Business As Name - Organization

Office Location

Street Address 201 S JUPITER RD
City ALLEN
State TX
Zip Code 75002-3035

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1285895516 Bio-medical Applications of Texas Inc Clinic/Center 925 W Exchange Pkwy, Allen, TX 75013-7016 2008-06-19

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Competitor

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City ALLEN
Zip Code 75002

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Dataset Information

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.

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