DECKER DIALYSIS LLC (NPI# 1518136985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518136985 |
| Entity Type | Organization |
| Organization Name | DECKER DIALYSIS LLC |
| Other Organization Name | CAPITOL CENTRE DIALYSIS |
| Practice Address |
201 Columbia Mall Blvd Ste 141 Columbia SC 29223-7536 |
| Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 6153204521 |
| Mailing Telephone | 6153204521 |
| Mailing Fax Number | 8665942894 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | JIM HILGER (VICE PRESIDENT) |
| Authorized Official Telephone | 2533821919 |
| 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 |
| Other Name | Type Code |
|---|---|
| Capitol Centre Dialysis | Doing Business As Name - Organization |
| Street Address |
201 COLUMBIA MALL BLVD STE 141 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912209123 | Dentsville Kidney Center LLC | Clinic/Center | 201 Columbia Mall Blvd, Suite 141, Columbia, SC 29223-7536 | 2010-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| 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 |
|---|---|---|---|---|
| 1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1245639996 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 140 Highland Center Dr., Columbia, SC 29203 | 2014-08-19 |
| 1366793630 | Total Renal Care Inc | Clinic/Center | 3320 Bluff Creek Dr Ste 105, Columbia, MO 65201-3662 | 2012-09-27 |
| 1104143460 | North Main Kidney Center LLC | Clinic/Center | 3900 North Main St, Columbia, SC 29203-6445 | 2010-04-27 |
| 1952540874 | American Red Cross | Clinic/Center | 1511 S Providence Rd, Columbia, MO 65203-3535 | 2009-02-17 |
| 1336399666 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 150 Park Central Dr, Columbia, SC 29203-6469 | 2008-09-23 |
| 1558421669 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 2139 Adams Grv, Columbia, SC 29203-7102 | 2006-12-11 |
| 1073615498 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 7631 Wilson Blvd, Columbia, SC 29203-3020 | 2006-09-05 |
| 1548372352 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1840 Pineview Dr, Columbia, SC 29209-5085 | 2006-08-31 |
| Find all providers in COLUMBIA | ||||
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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.