KDCO, INC. (NPI# 1497867360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497867360 |
Entity Type | Organization |
Organization Name | KDCO, INC. |
Other Organization Name | FRESENIUS MEDICAL CARE SPRINGFIELD MIDWEST |
Practice Address |
2003 E Sunshine St Springfield MO 65804-1839 |
Practice Telephone | 4178822413 |
Practice Fax Number | 4178822827 |
Mailing Telephone | 4178822413 |
Mailing Fax Number | 4178822827 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-10-20 |
Authorized Official Name | JAMES J DIVITO (VICE PRESIDENT) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, 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 |
---|---|
Fresenius Medical Care Springfield Midwest | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1675 E Seminole, Ste A, Springfield, MO 65804 | 4178900140 |
Street Address |
2003 E SUNSHINE ST |
City | SPRINGFIELD |
State | MO |
Zip Code | 65804-1839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
Find all providers in zip 65804 |
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 |
---|---|---|---|---|
1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
1598212177 | Fresenius Medical Care Koke Mill, LLC | Clinic/Center | 2550 Koke Mill Dr., Springfield, IL 62707-9997 | 2016-09-01 |
1528444288 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3359 W Kearney St, Springfield, MO 65803-2008 | 2015-08-05 |
1922422112 | Fresenius Medical Care Dialysis Services Oregon LLC | Clinic/Center | 350 Q St, Springfield, OR 97477-2140 | 2014-02-10 |
1598016305 | Pacheco Dialysis LLC | Clinic/Center | 1007 E Kearney St, Springfield, MO 65803-3433 | 2012-09-20 |
1659654010 | Total Renal Care Inc | Clinic/Center | 2930 S 6th St, Springfield, IL 62703-5944 | 2011-09-22 |
1346535051 | National Trail Dialysis LLC | Clinic/Center | 171 S Tuttle Rd, Springfield, OH 45505-1560 | 2011-06-10 |
1437244027 | Rai Care Centers of Illinois II, LLC | Clinic/Center | 1112 Centre West Drive, Springfield, IL 62704-2100 | 2006-10-03 |
1093827891 | Qualicenters Eugene-springfield, Ltd. | Clinic/Center | 304 Q St, Springfield, OR 97477-2140 | 2006-08-31 |
1548372360 | Dialysis Associates, LLC | Clinic/Center | 106 Mooreland Dr, Springfield, TN 37172-3945 | 2006-08-31 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65804 |
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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.