MEESA DIALYSIS LLC (NPI# 1588067391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588067391 |
Entity Type | Organization |
Organization Name | MEESA DIALYSIS LLC |
Other Organization Name | MILLE LACS DIALYSIS |
Practice Address |
245 Isle St W Isle MN 56342-4908 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 3206763593 |
Practice Fax Number | 3206763316 |
Mailing Telephone | 6153204214 |
Mailing Fax Number | 8777358016 |
Enumeration Date | 2014-10-07 |
Last Update Date | 2015-07-07 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1588067391 | 05 |
Other Name | Type Code |
---|---|
Mille Lacs Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871995415 | Meesa Dialysis LLC | Clinic/Center | 30 25th Ave S, Saint Cloud, MN 56301-6285 | 2014-09-25 |
Street Address |
245 ISLE ST W |
City | ISLE |
State | MN |
Zip Code | 56342-4908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154546596 | Countys of Mille Lacs Aitkin & Kanabec | Local Education Agency (LEA) | 730 5th Ave S, Isle, MN 56342 | 2007-04-13 |
1144242330 | Thompsons Lake Country Drug Inc | Pharmacy | 205 Main St W, Isle, MN 56342 | 2006-07-24 |
1134125313 | John Robert Miller | Dentist | 370 3rd Ave S, Isle, MN 56342 | 2005-06-22 |
1396147799 | Cache Dialysis LLC | Clinic/Center | 255 W Isle St, Isle, MN 56342-0000 | 2014-09-17 |
1700055134 | Easy Rider of Minnesota | Non-emergency Medical Transport (VAN) | 235 N Hennepin, Isle, MN 56342-0510 | 2008-02-29 |
1497917587 | Mille Lacs Health System | Chiropractor | 375 W Isle St, Isle, MN 56342-2640 | 2008-06-30 |
1770682551 | Anthony Bernard Hass | Chiropractor | 375 West Isle Street, Isle, MN 56342-2640 | 2006-09-21 |
1669736674 | Kacie Kay Woodis | Dentist | 370 3rd Ave S, Isle, MN 56342-4573 | 2012-06-25 |
1912541897 | Massage On Mille Lacs | Massage Therapist | 295 Main St W # 851, Isle, MN 56342-4919 | 2019-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912541897 | Massage On Mille Lacs | Massage Therapist | 295 Main St W # 851, Isle, MN 56342-4919 | 2019-11-04 |
1396147799 | Cache Dialysis LLC | Clinic/Center | 255 W Isle St, Isle, MN 56342-0000 | 2014-09-17 |
1497917587 | Mille Lacs Health System | Chiropractor | 375 W Isle St, Isle, MN 56342-2640 | 2008-06-30 |
1700055134 | Easy Rider of Minnesota | Non-emergency Medical Transport (VAN) | 235 N Hennepin, Isle, MN 56342-0510 | 2008-02-29 |
1154546596 | Countys of Mille Lacs Aitkin & Kanabec | Local Education Agency (LEA) | 730 5th Ave S, Isle, MN 56342 | 2007-04-13 |
1770682551 | Anthony Bernard Hass | Chiropractor | 375 West Isle Street, Isle, MN 56342-2640 | 2006-09-21 |
1144242330 | Thompsons Lake Country Drug Inc | Pharmacy | 205 Main St W, Isle, MN 56342 | 2006-07-24 |
1134125313 | John Robert Miller | Dentist | 370 3rd Ave S, Isle, MN 56342 | 2005-06-22 |
1669736674 | Kacie Kay Woodis | Dentist | 370 3rd Ave S, Isle, MN 56342-4573 | 2012-06-25 |
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 |
---|---|---|---|---|
1396147799 | Cache Dialysis LLC | Clinic/Center | 255 W Isle St, Isle, MN 56342-0000 | 2014-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770183832 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 6160 Summit Dr N Ste 150, Brooklyn Center, MN 55430-2118 | 2020-10-28 |
1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
1225541055 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 7433 Currell Blvd, Woodbury, MN 55125-2217 | 2017-11-15 |
1154856839 | Avera Marshall | Clinic/Center | 300 S Bruce St Ste D, Marshall, MN 56258-1934 | 2017-05-01 |
1225573777 | Atlantic Dialysis LLC | Clinic/Center | 1802 Commerce Dr, North Mankato, MN 56003-1800 | 2016-12-19 |
1437694981 | Atlantic Dialysis LLC | Clinic/Center | 701 N Broadway St, New Ulm, MN 56073-1201 | 2016-12-19 |
1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
1003292392 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 17592 Dodd Blvd, Lakeville, MN 55044-3909 | 2015-08-10 |
1629461470 | Babler Dialysis, LLC | Clinic/Center | 2660 S Broadway, Ste A, Rochester, MN 55904-6263 | 2015-03-17 |
1871995415 | Meesa Dialysis LLC | Clinic/Center | 30 25th Ave S, Saint Cloud, MN 56301-6285 | 2014-09-25 |
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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.