DSI KELLOGG, LLC (NPI# 1467883967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467883967 |
| Entity Type | Organization |
| Organization Name | DSI KELLOGG, LLC |
| Other Organization Name | U.S. RENAL CARE SILVER VALLEY DIALYSIS |
| Practice Address |
858 Commerce Dr. Smelterville ID 83868 |
| Mailing Address |
424 Church St Suite 1900 Nashville TN 37219-2301 |
| Practice Telephone | 6152340951 |
| Mailing Telephone | 6157778200 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, INC. |
| 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 Name | Type Code |
|---|---|
| U.S. Renal Care Silver Valley Dialysis | Doing Business As Name - Organization |
| Street Address |
858 COMMERCE DR. |
| City | SMELTERVILLE |
| State | ID |
| Zip Code | 83868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578061883 | Ann N Moffett | Nurse Practitioner | 858 Commerce Dr., Smelterville, ID 83858 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104220854 | Lloyd Rauenhorst | Pharmacist | 504 Commerce Dr, Smelterville, ID 83868 | 2014-10-09 |
| 1306097522 | Jeffrey Boyd Arthurs | Pharmacist | 583 Commerce Dr, Smelterville, ID 83868 | 2008-10-07 |
| 1740345859 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 583 Commerce Drive, Smelterville, ID 83868 | 2006-12-27 |
| 1154514669 | Bandz, Inc. | Durable Medical Equipment & Medical Supplies | 1000 West Main St., Smelterville, ID 83868-0219 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578061883 | Ann N Moffett | Nurse Practitioner | 858 Commerce Dr., Smelterville, ID 83858 | 2018-02-01 |
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1457749475 | Lewis-clark Kidney Center LLC | Clinic/Center | 2116 12th Ave, Lewiston, ID 83501-3502 | 2014-12-29 |
| 1144621665 | Dsi Post Falls, LLC | Clinic/Center | 920 N Highway 41, Suite 3-6, Post Falls, ID 83854-8806 | 2014-09-16 |
| 1427472141 | Boise Dialysis Partners II, LLC | Clinic/Center | 1109 W Myrtle St Ste 120, Boise, ID 83702-6971 | 2014-02-17 |
| 1154669695 | Tfld Partners, LLC | Clinic/Center | 350 North Haven Drive, Twin Falls, ID 83301 | 2013-01-17 |
| 1255643243 | Ldcd LLC | Clinic/Center | 4620 Enterprise Way, Suite 101, Caldwell, ID 83605-6764 | 2010-07-08 |
| 1225265606 | Total Renal Care Inc | Clinic/Center | 212 Rodeo Dr Ste 110, Moscow, ID 83843-9791 | 2009-06-12 |
| Find all providers with the same taxonomy | ||||
| City | SMELTERVILLE |
| Zip Code | 83868 |
Please comment or provide details below to improve the information on DSI KELLOGG, LLC.
| 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.