ETOWAH DIALYSIS LLC (NPI# 1457787715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457787715 |
Entity Type | Organization |
Organization Name | ETOWAH DIALYSIS LLC |
Other Organization Name | ST LUKES BETHLEHEM DIALYSIS |
Practice Address |
1425 8th Ave Bethlehem PA 18018-2256 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 4844034304 |
Practice Fax Number | 6108661739 |
Mailing Telephone | 6153416410 |
Mailing Fax Number | 8886628259 |
Enumeration Date | 2013-09-18 |
Last Update Date | 2020-08-03 |
Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1029243170002 | 05 |
Other Name | Type Code |
---|---|
St Lukes Bethlehem Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659830800 | Etowah Dialysis LLC | Clinic/Center | 2550 Route 100, Ste 2, Macungie, PA 18062-0000 | 2019-03-18 |
1033687413 | Etowah Dialysis LLC | Clinic/Center | 1215 E Broad St, Ste 20, Tamaqua, PA 18252-2229 | 2018-11-05 |
1376909515 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 200, Allentown, PA 18104-6460 | 2016-01-04 |
1770948838 | Etowah Dialysis LLC | Clinic/Center | 1220 3rd St, Whitehall, PA 18052-4905 | 2015-12-16 |
1891121166 | Etowah Dialysis LLC | Clinic/Center | 1021 Park Ave, Quakertown, PA 18951-1573 | 2013-09-18 |
1790111060 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 100, Allentown, PA 18104-6460 | 2013-09-18 |
Street Address |
1425 8TH AVE |
City | BETHLEHEM |
State | PA |
Zip Code | 18018-2256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689226508 | Lynn Michelle Hoerres | Nurse Practitioner | 1425 8th Ave, Bethlehem, PA 18018-2256 | 2019-07-11 |
1699297572 | St Luke's Physician Group Inc | Registered Nurse | 1425 8th Ave, Bethlehem, PA 18018-2256 | 2017-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
Find all providers in zip 18018 |
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 |
---|---|---|---|---|
1598389132 | Concerto Georgia LLC | Clinic/Center | 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 | 2020-05-29 |
1598290280 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 1005 Harvard Ave, Bethlehem, PA 18015-9400 | 2017-05-01 |
1982009676 | Ncg Home Dialysis of Barrow County LLC | Clinic/Center | 655 Exchange Blvd, Ste 100, Bethlehem, GA 30620-1767 | 2014-10-24 |
1396849261 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 2014 City Line Rd, Ste 102, Bethlehem, PA 18017-2159 | 2006-09-12 |
1073607172 | St. Lukes Hospital | Clinic/Center | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2006-10-03 |
1003832981 | St. Luke's North Dialysis Center, Lp | Clinic/Center | 89 S Commerce Way, Bethlehem, PA 18017-8952 | 2006-07-14 |
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1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
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.