DIALYSIS CARE CENTER LEBANON LLC (NPI# 1588214498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588214498 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CARE CENTER LEBANON LLC |
| Practice Address |
550 Isabel Dr Ste 1 Lebanon PA 17042-7205 |
| Mailing Address |
Po Box 3134 Joliet IL 60434-3134 |
| Practice Telephone | 7174026300 |
| Mailing Telephone | 8157416830 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | MORUFU OLATUNJI ALAUSA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8157416830 |
| 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 |
| Street Address |
550 ISABEL DR STE 1 |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1871977108 | Cooper Dialysis LLC | Clinic/Center | 966 Isabel Dr, Lebanon, PA 17042-7482 | 2015-07-16 |
| 1982985388 | Fresenius Medical Care Dialysis Services Oregon, LLC | Clinic/Center | 665 N 5th St, Lebanon, OR 97355-2875 | 2011-08-30 |
| 1770810293 | Rai Care Centers of Lebanon I LLC | Clinic/Center | 1701 West Main Street, Suite 101, Lebanon, TN 37087 | 2009-11-04 |
| 1477753325 | River Valley Dialysis LLC | Clinic/Center | 918b Columbus Ave, Lebanon, OH 45036-1402 | 2007-07-19 |
| 1336349273 | Ohio River Dialysis LLC | Clinic/Center | 918 B Columbus Ave, #1, Lebanon, OH 45036-1402 | 2007-07-19 |
| 1700931714 | Liberty Dialysis - Lebanon LLC | Clinic/Center | 2485 N Lebanon St, Lebanon, IN 46052-1186 | 2007-01-23 |
| 1992714604 | Bio-medical Applications of New Hampshire, Inc. | Clinic/Center | 56 Etna Rd, Lebanon, NH 03766-1419 | 2006-08-05 |
| 1750382610 | Gsh Dialysis, Inc. | Clinic/Center | 440 Oak St, Lebanon, PA 17042-6243 | 2005-08-02 |
| 1255971362 | Renpro Indiana LLC | Clinic/Center | 1585 Perry Worth Rd, Lebanon, IN 46052-9635 | 2020-01-07 |
| 1093141814 | Total Renal Care Inc | Clinic/Center | 440 Oak St, Lebanon, PA 17042-6243 | 2013-09-25 |
| Find all providers in LEBANON | ||||
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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.