KINGMAN KIDNEY CLINIC INC. (NPI# 1447338710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447338710 |
| Entity Type | Organization |
| Organization Name | KINGMAN KIDNEY CLINIC INC. |
| Practice Address |
4055 Stockton Hill Rd Ste 15 Kingman AZ 86409-2469 |
| Mailing Address |
10917 72nd Rd Ste 6r Forest Hills NY 11375-5336 |
| Practice Telephone | 9286926500 |
| Mailing Telephone | 7182686906 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-06-03 |
| Authorized Official Name | RAMESH SARVA (ADMINISTRATOR) |
| Authorized Official Telephone | 7182686906 |
| 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 |
OTC2527 | AZ | Ambulatory Health Care Facilities |
| Street Address |
4055 STOCKTON HILL RD STE 15 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| 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 |
|---|---|---|---|---|
| 1487818076 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1721 Airway Ave, Kingman, AZ 86409-3620 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1043826191 | Fresenius Medical Care Yuma, LLC | Clinic/Center | 1200 S Castle Dome Ave Ste C, Yuma, AZ 85365-5305 | 2020-09-23 |
| 1215577598 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14671 W Mountain View Blvd Ste 102, Surprise, AZ 85374-4840 | 2020-01-14 |
| 1225678774 | Endicott Dialysis LLC | Clinic/Center | 2500 S 8th Ave Ste 102, Yuma, AZ 85364-7132 | 2020-01-13 |
| 1811450281 | Bio Medical Applications of Arizona LLC | Clinic/Center | 450 S Gilbert Rd, Chandler, AZ 85225-2479 | 2019-04-11 |
| 1437612165 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14620 W Encanto Blvd Ste 110, Goodyear, AZ 85395-1616 | 2019-04-10 |
| 1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
| 1437613916 | Premier Home Dialysis Services | Clinic/Center | 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621 | 2019-01-29 |
| 1801369186 | Bio Medical Applications of Arizona LLC | Clinic/Center | 7862 E Florentine Rd Ste 100, Prescott Valley, AZ 86314-2216 | 2019-01-09 |
| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| 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.