MIAMI REGIONAL DIALYSIS CENTER WEST LLC


Address: 900 Park Centre Blvd, Suite 400-c, Miami, FL 33169-5367
Phone: 3056257125

MIAMI REGIONAL DIALYSIS CENTER WEST LLC (NPI# 1467762146) 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) 1467762146
Entity Type Organization
Organization Name MIAMI REGIONAL DIALYSIS CENTER WEST LLC
Practice Address 900 Park Centre Blvd
Suite 400-c
Miami
FL 33169-5367
Practice Telephone 3056257125
Practice Fax Number 3056255180
Mailing Telephone 3056257125
Mailing Fax Number 3056255180
Enumeration Date 2010-10-15
Last Update Date 2020-03-11
Authorized Official Name SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY)
Authorized Official Telephone 9789223080
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
FL 004332500 05

Office Location

Street Address 900 PARK CENTRE BLVD
SUITE 400-C
City MIAMI
State FL
Zip Code 33169-5367

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1780041665 Elizabeth Lovette Ugokwe Registered Nurse 330 North Biscayne River Drive, Miami, FL 33169 2016-01-22
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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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1124640263 Arc Dialysis Westchester LLC Clinic/Center 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 2020-05-12
1679038046 Arc Dialysis Kendall LLC Clinic/Center 9835 Sunset Dr Ste 107, Miami, FL 33173-4648 2019-02-09
1982171633 Arc Dialysis Perrine LLC Clinic/Center 22165 S Dixie Hwy, Miami, FL 33170 2018-10-31
1255833844 Kidney Care of Kendall Dialysis Center Inc. Clinic/Center 13501 S.w. 136th Street, 210, Miami, FL 33186 2018-02-28
1386167070 Primecare Renal Group LLC Clinic/Center 78 Sw 13th Ave Ste 205, Miami, FL 33135-2479 2017-07-25
1952848798 Total Renal Care Inc Clinic/Center 1800 Sw 8th St, Miami, FL 33135-3418 2017-01-31
1194130252 Vital Life Dialysis Center, LLC Clinic/Center 13501 Sw 136th Street, Suite 210, Miami, FL 33186 2014-06-27
1699102715 Talimena Dialysis LLC Clinic/Center 15600 Nw 15th Ave, Ste D, Miami, FL 33169-5609 2013-10-03
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Competitor

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City MIAMI
Zip Code 33169

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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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