DIALYSIS CLINIC INC. (NPI# 1447283825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447283825 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC. |
| Practice Address |
1213 Bonita St Grants NM 87020-2103 |
| Practice Telephone | 5052855200 |
| Practice Fax Number | 5052855540 |
| Mailing Telephone | 5052855200 |
| Mailing Fax Number | 5052855540 |
| Enumeration Date | 2006-07-08 |
| 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 |
6377A1 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 01436 | 05 | |
| NM | N5003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1922346147 | Dialysis Clinic Inc. | Clinic/Center | 2800 W 10th St, Suite 510, Little Rock, AR 72204-2206 | 2013-01-23 |
| 1477807139 | Dialysis Clinic Inc. | Clinic/Center | 1545 Meadowview Rd, Suites 130 - 180, Sacramento, CA 95832-1081 | 2012-11-02 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
| 1174811657 | Dialysis Clinic Inc. | Clinic/Center | 176 Washington Avenue Ext, Suite 100, Albany, NY 12203-5300 | 2011-07-18 |
| 1437445293 | Dialysis Clinic Inc. | Clinic/Center | 5300 Archdale Blvd, North Charleston, SC 29418-3343 | 2011-06-21 |
| 1336443282 | Dialysis Clinic Inc. | Clinic/Center | 275 South Orchard, Ukiah, CA 95482-5016 | 2011-01-07 |
| 1518271790 | Dialysis Clinic Inc. | Clinic/Center | 822 Wild Ave., Evergreen, AL 36401-2545 | 2010-07-30 |
| 1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
| Street Address |
1213 BONITA ST |
| City | GRANTS |
| State | NM |
| Zip Code | 87020-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
| 1063840551 | Patricia Thompson | Nurse Practitioner | 2111 Lobo Canyon Rd, Grants, NM 87020 | 2013-10-22 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 1841588506 | Saint Mary Nonemergency Medical Transportatio | Non-emergency Medical Transport (VAN) | 1325 Saddlehorn Trail, Grants, NM 87020 | 2011-07-15 |
| 1801129416 | Tammy L. White | Social Worker | 2595 West Highway 66, Grants, NM 87020 | 2009-09-14 |
| 1720236524 | Martha Abeyta | Nurse Practitioner | 1210 Mt. Taylor Ave, Grants, NM 87020 | 2008-09-04 |
| 1780869255 | Lou G. Mazon-vigil | Homeopath | 1300 Del Norte Blvd, Grants, NM 87020 | 2008-01-03 |
| Find all providers in zip 87020 | ||||
| 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 |
|---|---|---|---|---|
| 1447866108 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 2050 Knudsen Ave, Ste C, Farmington, NM 87401-9070 | 2020-09-18 |
| 1306499405 | Trc Four Corners Dialysis Clinics LLC | Clinic/Center | 4525 Rowe Ave, Farmington, NM 87402-3013 | 2019-07-18 |
| 1457829269 | Valley Home Dialysis | Clinic/Center | 3900 E Lohman Ave Ste B1, Las Cruces, NM 88011-8268 | 2018-11-09 |
| 1235636283 | Usrc Las Cruces LLC | Clinic/Center | 250 E Amador Ave, Las Cruces, NM 88001-3649 | 2018-04-06 |
| 1124523857 | Bio Medical Applications of New Mexico, Inc. | Clinic/Center | 5221 Las Soleras Dr, Santa Fe, NM 87507-2101 | 2018-03-26 |
| 1710406301 | Dialysis Clinic Inc | Clinic/Center | 8121 Central Ave Nw, Albuquerque, NM 87121-2125 | 2017-09-14 |
| 1033634175 | Chantry Dialysis, LLC | Clinic/Center | 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 | 2017-08-10 |
| 1124477112 | Home Dialysis of Santa Fe, LLC | Clinic/Center | 2904 Rodeo Park Dr E Ste 300a-1, Santa Fe, NM 87505-6305 | 2016-06-09 |
| 1811358609 | Solid Rock Dialysis, LLC | Clinic/Center | 1580 Highway 264, Suite A, Gallup, NM 87301-3302 | 2016-03-08 |
| 1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
| 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.