BASTROP DIALYSIS LLC


Address: 1111 Sweitzer St, Ste B, Greenville, OH 45331-1189
Phone: 9375487019

BASTROP DIALYSIS LLC (NPI# 1508100777) 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) 1508100777
Entity Type Organization
Organization Name BASTROP DIALYSIS LLC
Other Organization Name DARKE COUNTY DIALYSIS
Practice Address 1111 Sweitzer St
Ste B
Greenville
OH 45331-1189
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 9375487019
Practice Fax Number 9375486519
Mailing Telephone 6152383051
Mailing Fax Number 8002468346
Enumeration Date 2012-11-12
Last Update Date 2020-09-01
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
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
OH 0087280 05

Other Provider/Organization Names

Other Name Type Code
Darke County Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720322571 Bastrop Dialysis LLC Clinic/Center 3190 N County Road 25a, Troy, OH 45373-1337 2012-11-18
1902140122 Bastrop Dialysis LLC Clinic/Center 1431 Business Center Ct, Dayton, OH 45410-3300 2012-11-15
1023352291 Bastrop Dialysis LLC Clinic/Center 90 Commercial Way, Springboro, OH 45066-3080 2012-11-12
1114261393 Bastrop Dialysis LLC Clinic/Center 455 Turner Rd, Ste A, Dayton, OH 45415-3630 2012-11-12
1922342187 Bastrop Dialysis LLC Clinic/Center 1431 Business Center Ct, Dayton, OH 45410-3300 2012-11-12

Office Location

Street Address 1111 SWEITZER ST
STE B
City GREENVILLE
State OH
Zip Code 45331-1189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063414712 David Kinnaird Johnson Physical Medicine & Rehabilitation 1111 Sweitzer St, Greenville, OH 45331-1189 2005-08-12
1891137147 Compunet Clinical Laboratories, LLC Clinical Medical Laboratory 1111 Sweitzer St, Greenville, OH 45331-1189 2013-07-26
1790122802 Bradon Thomas Boeckman Specialist/Technologist 1111 Sweitzer St, Greenville, OH 45331-1189 2013-05-30
1033300215 Praveena Cheruvu Internal Medicine 1111 Sweitzer St, Suite C, Greenville, OH 45331 2007-08-05
1679555932 Dialysis Centers of Dayton, LLC Clinic/Center 1111 Sweitzer St, Suite B, Greenville, OH 45331-1189 2005-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467960195 Karen Droesch Dietitian, Registered 835 Sweitzer Street, Greenville, OH 45331 2018-01-16
1679002745 Maria C Muhlenkamp Nurse Practitioner 1101 Jackson St., Suite B, Bethel Cardiology, Greenville, OH 45331 2017-06-12
1457803447 Ginger Aldora Counselor 600 Walnut Street, Greenville, OH 45331 2016-10-26
1649631664 Danielle D Mckenzie Social Worker 1101 Jackson St Ste C, Greenville, OH 45331 2016-03-18
1811354426 Lonnie Smith Social Worker 1199 E. Russ Rd, Apt/ E-1, Greenville, OH 45331 2016-01-27
1851795496 Rhonda Fields Social Worker 212 S. Main Street, Greenville, OH 45331 2014-10-10
1205136504 Michelle Marie Dickey Physical Therapy Assistant 5162 Children's Home Bradford Rd., Amedisys Home Health Care, Greenville, OH 45331 2010-11-02
1386960870 Matthew David Painting Podiatrist 415 West Russ Road, Greenville, OH 45331 2010-04-09
1487892337 Ina J. Lilly Licensed Practical Nurse 1001 Donald Dr., Greenville, OH 45331 2009-01-30
1285821595 Assisted Living Concepts Inc Assisted Living Facility 1275 Northview Drive, Greenville, OH 45331 2007-10-01
Find all providers in zip 45331

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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215404629 Bio-medical Applications of Texas, Inc. Clinic/Center 4309 Ridgecrest Rd Ste 100, Greenville, TX 75402-6003 2018-10-24
1710460548 Hunt County Regional Dialysis Center LLC Clinic/Center 3301 Ridgecrest Rd Ste 1, Greenville, TX 75402-6251 2018-09-07
1114290368 Greenville Dialysis Clinic LLC Clinic/Center 220 Howe St, Suite 220a, Greenville, SC 29601-3524 2012-02-20
1114200607 Dialysis Newco Inc Clinic/Center 1004 Grove Rd, Suite A, Greenville, SC 29605-4602 2011-09-21
1639470222 Dsi Greenville, LLC Clinic/Center 110 Chalmers Rd, Suite D, Greenville, SC 29605-1351 2010-11-12
1710205802 Total Renal Care Inc Clinic/Center 297 Pete Hollis Blvd, Greenville, SC 29601-1143 2010-05-13
1912177072 Greenville Dialysis Partners, Lp Clinic/Center 4309 Ridgecrest Road, Suite 100, Greenville, TX 75402-6004 2008-03-05
1285746008 Rcg University Division, Inc. Clinic/Center 605 S Academy St, Greenville, SC 29601-2407 2006-08-31
1093827842 Bio-medical Applications of Alabama, Inc. Clinic/Center 350 Paul Stabler Dr, Greenville, AL 36037-3128 2006-08-31
1306958152 Rcg Mississippi, Inc. Clinic/Center 2001 Medical Park Dr, Greenville, MS 38703-7220 2006-08-31
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 45331

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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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