GREATER LAFAYETTE HEALTH SERVICES (NPI# 1609968254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609968254 |
| Entity Type | Organization |
| Organization Name | GREATER LAFAYETTE HEALTH SERVICES |
| Other Organization Name | DIALYSIS CENTER OF LAFAYETTE |
| Practice Address |
1000 North 18th Street Lafayette IN 47904 |
| Practice Telephone | 7654236351 |
| Mailing Telephone | 7654236351 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRANCE E WILSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7654236161 |
| 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 |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dialysis Center of Lafayette | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396044392 | Greater Lafayette Health Services | Durable Medical Equipment & Medical Supplies | 1260 N 17th St, Lafayette, IN 47904-2163 | 2011-03-17 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1003915455 | Greater Lafayette Health Services | Clinic/Center | 1017 O Connor Blvd, Monticello, IN 47960-1600 | 2006-09-22 |
| 1093013393 | Greater Lafayette Health Services | Durable Medical Equipment & Medical Supplies | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2011-03-10 |
| 1265763742 | Greater Lafayette Health Services | Pharmacy | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2010-01-22 |
| 1508935552 | Greater Lafayette Health Services | Clinic/Center | 1425 Unity Pl, Lafayette, IN 47905-5756 | 2006-11-06 |
| 1710065750 | Greater Lafayette Health Services | Clinic/Center | 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7438 | 2006-11-01 |
| 1982782934 | Greater Lafayette Health Services | Clinic/Center | 1345 Unity Pl, Suite 235, Lafayette, IN 47905-5760 | 2006-11-01 |
| 1285733584 | Greater Lafayette Health Services | Clinic/Center | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2006-09-22 |
| 1851498075 | Greater Lafayette Health Services | Clinic/Center | 1300 S Jackson St, Frankfort, IN 46041-3313 | 2006-09-20 |
| Street Address |
1000 NORTH 18TH STREET |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| 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 |
|---|---|---|---|---|
| 1568079085 | Fresenius Medical Care Broussard, LLC | Clinic/Center | 138 Youngsville Highway, Lafayette, LA 70508-4536 | 2020-09-29 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1194989293 | Dialysis Clinic Inc | Clinic/Center | 301 Alcide Dominique Dr, Lafayette, LA 70506-1052 | 2008-07-17 |
| 1245320639 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 1020 N 18th St, Lafayette, IN 47904-2279 | 2006-10-13 |
| 1578665956 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 910 Martin Luther King Jr Dr, Lafayette, LA 70501-1856 | 2006-09-05 |
| 1174635932 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 802 Hospital St, Lafayette, AL 36862-2818 | 2006-08-31 |
| 1972520997 | Wellbound of Lafayette LLC | Clinic/Center | 2 Executive Dr, Suite B, Lafayette, IN 47905-4878 | 2006-07-16 |
| 1104856269 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 1340 Surrey St Ste 101, Lafayette, LA 70501-7647 | 2006-07-04 |
| 1649674359 | Dialysis Clinic Inc | Clinic/Center | 224 Saint Landry St, Suite 3c, Lafayette, LA 70506-3549 | 2014-10-09 |
| 1710315478 | Total Renal Care Inc | Clinic/Center | 314 Youngsville Hwy, Suite 125, Lafayette, LA 70508-4524 | 2013-10-16 |
| Find all providers in LAFAYETTE | ||||
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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.