SWEETWATER DIALYSIS LLC (NPI# 1609041359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609041359 |
| Entity Type | Organization |
| Organization Name | SWEETWATER DIALYSIS LLC |
| Other Organization Name | SWEETWATER DIALYSIS CLINIC |
| Practice Address |
921 New Highway 68 Sweetwater TN 37874-2726 |
| Mailing Address |
2001 Laurel Ave Suite 203 Knoxville TN 37916-1810 |
| Practice Telephone | 8656375186 |
| Mailing Telephone | 8656375186 |
| Mailing Fax Number | 8656375121 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-12-01 |
| Authorized Official Name | MR. HEETESH PATEL (COO) |
| Authorized Official Telephone | 8656375186 |
| 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 |
TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sweetwater Dialysis Clinic | Doing Business As Name - Organization |
| Street Address |
921 NEW HIGHWAY 68 |
| City | SWEETWATER |
| State | TN |
| Zip Code | 37874-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629348743 | Total Renal Care Inc | Clinic/Center | 921 New Highway 68, Sweetwater, TN 37874-2726 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588109003 | Tammy Allen | Speech-Language Pathologist | 120 Clover Hill Drive, Sweetwater, TN 37874 | 2016-12-20 |
| 1194164996 | Wal-mart Stores East, Lp | Technician/Technologist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-06-14 |
| 1609117720 | Wal-mart Stores East Lp | Pharmacy | 935 State Highway 11 South, Sweetwater, TN 37874 | 2013-03-14 |
| 1568537868 | Joe Allen Moore | Dentist | 206 Mayes Ave, Sweetwater, TN 37874 | 2006-11-21 |
| 1699880518 | John Michael Fox | Dentist | 201 S High St, Sweetwater, TN 37874 | 2006-08-20 |
| 1114931516 | Thomas Alan Foster | Optometrist | 689a Hwy 68, Sweetwater, TN 37874 | 2006-07-28 |
| 1962486183 | Sweetwater Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 978 Highway 11 South, Sweetwater, TN 37874 | 2005-12-01 |
| 1518953777 | John G Richeson | Dentist | 745 New Highway 68, Sweetwater, TN 37874 | 2005-09-23 |
| 1861973737 | Shannon Dale Massingale | Pharmacist | 205 North Main Street, Sweetwater, TN 37874 | 2018-08-28 |
| 1962833913 | Bridgette Vestal | Pharmacist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-12-02 |
| Find all providers in zip 37874 | ||||
| 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 |
|---|---|---|---|---|
| 1184174047 | Fresenius Medical Care Rolling Plains, LLC | Clinic/Center | 100 E Arizona Ave, Sweetwater, TX 79556-7120 | 2016-10-04 |
| 1629348743 | Total Renal Care Inc | Clinic/Center | 921 New Highway 68, Sweetwater, TN 37874-2726 | 2012-01-05 |
| 1710125331 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 783 New Highway 68, Sweetwater, TN 37874-1906 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736438 | Fresenius Medical Care Cookeville, LLC | Clinic/Center | 117 N Hickory Ave Ste 100, Cookeville, TN 38501-2424 | 2019-12-03 |
| 1245872829 | Pure Life Renal of Cool Springs, LLC | Clinic/Center | 1648 Westgate Cir Ste 100, Brentwood, TN 37027-8019 | 2019-10-15 |
| 1386298560 | Mattapan Dialysis LLC | Clinic/Center | 5144 Riverdale Rd Ste 103, Memphis, TN 38141-0271 | 2019-07-26 |
| 1114480761 | Avail Southeast Kidney Care LLC | Clinic/Center | 2008 Brookside Dr Ste 100, Kingsport, TN 37660-4640 | 2019-04-10 |
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1972062669 | Dialyze Direct Tn, LLC | Clinic/Center | 2600 Thousand Oaks Blvd Ste 1400, Memphis, TN 38118-2401 | 2019-03-13 |
| 1336610757 | Fresenius Medical Care Columbia Franklin, LLC | Clinic/Center | 8048 Station Hill Drive, Spring Hill, TN 37174 | 2018-12-11 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1164907929 | Fresenius Medical Care Sandy River, LLC | Clinic/Center | 57 Commerce St, Paris, TN 38242-4917 | 2018-09-27 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
| Find all providers with the same taxonomy | ||||
| City | SWEETWATER |
| Zip Code | 37874 |
Please comment or provide details below to improve the information on SWEETWATER DIALYSIS LLC.
| 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.