RITA RANCH DIALYSIS LLC (NPI# 1619114501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619114501 |
Entity Type | Organization |
Organization Name | RITA RANCH DIALYSIS LLC |
Other Organization Name | RITA RANCH DIALYSIS |
Practice Address |
7355 S Houghton Rd Ste 101 Tucson AZ 85747-9380 |
Mailing Address |
5200 Virginia Way L&c Dept. Brentwood TN 37027-7569 |
Practice Telephone | 5206634035 |
Practice Fax Number | 5206633826 |
Mailing Telephone | 6153415895 |
Mailing Fax Number | 8668905560 |
Enumeration Date | 2009-01-14 |
Last Update Date | 2015-01-16 |
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 |
OTC4770 | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 524427 | 05 | |
AZ | STATE LICENSE | OTC4770 | 01 |
Other Name | Type Code |
---|---|
Rita Ranch Dialysis | Doing Business As Name - Organization |
Street Address |
7355 S HOUGHTON RD STE 101 |
City | TUCSON |
State | AZ |
Zip Code | 85747-9380 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225408735 | Total Renal Care Inc | Clinic/Center | 7355 S Houghton Rd Ste 101, Tucson, AZ 85747-9380 | 2015-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093375958 | Elizabeth Hachenberg | Acupuncturist | 5343 S. Civano Blvd, Tucson, AZ 85747 | 2019-06-13 |
1073096749 | Tina Marie Evans | Pharmacist | 6250 E Grant Road, Ste #388, Tucson, AZ 85747 | 2018-09-10 |
1386173748 | Aliesje Nichole Thrower | Physical Medicine & Rehabilitation | 8465 E Hodgman Pl, Tucson, AZ 85747 | 2017-06-08 |
1558808998 | Kyleigh Aryn Karnas | Student in an Organized Health Care Education/Training Program | 10377 E. Valley Quail Dr., Tucson, AZ 85747 | 2017-01-24 |
1417369729 | Caitlin Marie Harper | Physician Assistant | 9685 E Paseo San Ardo, Tucson, AZ 85747 | 2014-05-21 |
1326463035 | Danelle Hunter | Pharmacist | 9260 S. Houghton Rd., Tucson, AZ 85747 | 2014-03-04 |
1609212497 | Joseph Donald Marco | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4825 South Manning Camp Ct, Tucson, AZ 85747 | 2013-05-20 |
1518218718 | Kristina Marie Downing | Nurse Practitioner | 9356 E Rita Rd Ste 180, Tucson, AZ 85747 | 2012-09-27 |
1376832006 | Denise Preuss | Social Worker | 10501 E Seven Generations Way Ste 201-07, Tucson, AZ 85747 | 2011-04-04 |
1376843342 | Tanya R White | Pharmacist | 9050 E. Valencia, Tucson, AZ 85747 | 2010-10-25 |
Find all providers in zip 85747 |
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 |
---|---|---|---|---|
1740711993 | Southwest Kidney-davita Dialysis Partners, LLC | Clinic/Center | 1635 N Swan Rd, Tucson, AZ 85712-4046 | 2017-03-21 |
1700277928 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5555 E 5th St Ste 155, Tucson, AZ 85711-2415 | 2015-02-10 |
1104091743 | Total Renal Care Inc | Clinic/Center | 2901 E Grant Rd, Tucson, AZ 85716-2717 | 2008-04-24 |
1649442526 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 2802 S 6th Ave, Tucson, AZ 85713-4703 | 2008-03-31 |
1811169790 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1430 W Valencia Rd Ste 1, Tucson, AZ 85746-6001 | 2008-03-31 |
1740476282 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 100 W Grant Rd, Tucson, AZ 85705-5531 | 2007-09-19 |
1578780268 | Bio Medical Applications of Arizona LLC | Clinic/Center | 6261 N La Cholla Blvd Ste 181, Tucson, AZ 85741-3563 | 2007-04-20 |
1023041407 | Dialysis Clinic Inc. | Clinic/Center | 2022 E Prince Rd, Tucson, AZ 85719-2005 | 2006-07-08 |
1871526251 | Dialysis Clinic Inc. | Clinic/Center | 1011 E Pennsylvania St, Tucson, AZ 85714-3310 | 2006-07-08 |
1013981679 | Dva Renal Healthcare Inc | Clinic/Center | 2024 E Irvington Rd, Ste 7, Tucson, AZ 85714-1825 | 2006-02-13 |
Find all providers in TUCSON |
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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.