DIALYSIS ASSOCIATES, LLC (NPI# 1629180443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629180443 |
| Entity Type | Organization |
| Organization Name | DIALYSIS ASSOCIATES, LLC |
| Other Organization Name | DIALYSIS ASSOCIATES OF PORTLAND |
| Practice Address |
923 S Broadway Portland TN 37148-1691 |
| Practice Telephone | 6153237065 |
| Mailing Telephone | 6153237065 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
| Other Name | Type Code |
|---|---|
| Dialysis Associates of Portland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053895425 | Dialysis Associates, LLC | Clinic/Center | 193 Brown Jct, Centerville, TN 37033-1334 | 2018-09-20 |
| 1659642072 | Dialysis Associates, LLC | Clinic/Center | 5214 Hickory Hollow Pkwy, Antioch, TN 37013-3082 | 2012-01-17 |
| 1427361419 | Dialysis Associates, LLC | Clinic/Center | 230 New Shackle Island Rd Ste 200, Hendersonville, TN 37075-2484 | 2010-07-19 |
| 1366532863 | Dialysis Associates, LLC | Clinic/Center | 1524 Williams Dr Ste 200, Murfreesboro, TN 37129-3274 | 2006-10-13 |
| 1811009632 | Dialysis Associates, LLC | Clinic/Center | 110 Ivy Ln, Pulaski, TN 38478-4550 | 2006-08-31 |
| 1356453179 | Dialysis Associates, LLC | Clinic/Center | 1428 Sparta St, Mc Minnville, TN 37110-1365 | 2006-08-31 |
| 1184736902 | Dialysis Associates, LLC | Clinic/Center | 561 S Water Ave, Gallatin, TN 37066-3619 | 2006-08-31 |
| 1548372360 | Dialysis Associates, LLC | Clinic/Center | 106 Mooreland Dr, Springfield, TN 37172-3945 | 2006-08-31 |
| 1992817712 | Dialysis Associates, LLC | Clinic/Center | 1120 Lakeview Dr, Ste 400, Franklin, TN 37067-3088 | 2006-08-31 |
| 1710099536 | Dialysis Associates, LLC | Clinic/Center | 1001 Riverside Dr, Nashville, TN 37206-1429 | 2006-08-31 |
| Street Address |
923 S BROADWAY |
| City | PORTLAND |
| State | TN |
| Zip Code | 37148-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1487903696 | Jennifer Leigh Toney | Registered Nurse | 101 Maurice Ct, Portland, TN 37148 | 2012-09-04 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| 1003090036 | State of Tennessee | Public Health or Welfare | 214 West Longview Drive, Portland, TN 37148 | 2007-12-27 |
| 1437256930 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 304 A S Broadway Ste A, Portland, TN 37148 | 2006-09-20 |
| 1568494243 | Melissa R Cook | Nurse Practitioner | 932-b South Broadway, Portland, TN 37148 | 2006-07-06 |
| 1225200306 | Lisa Nazarenus | Nurse Practitioner | 307 S Broadway, Portland, TN 37148 | 2008-03-28 |
| 1770523748 | Jason A Bruns | Physical Therapist | 121 Village Dr, 103, Portland, TN 37148 | 2006-06-07 |
| 1841350196 | Edward Freeman Kirkpatrick Jr. | Dentist | 307 Reed St, Portland, TN 37148-0410 | 2006-12-09 |
| Find all providers in zip 37148 | ||||
| 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 |
|---|---|---|---|---|
| 1922522432 | Garson Dialysis, LLC | Clinic/Center | 6828 Se Foster Rd, Portland, OR 97206-4546 | 2017-07-27 |
| 1407378532 | Rose City Dialysis LLC | Clinic/Center | 7474 Ne M L King Blvd, Portland, OR 97211-2828 | 2017-07-11 |
| 1215397534 | Rose City Dialysis, LLC | Clinic/Center | 4905 Ne Ml King Blvd, Portland, OR 97211-3353 | 2016-02-29 |
| 1770980401 | Total Renal Care Inc | Clinic/Center | 2737 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3037 | 2014-11-24 |
| 1932532157 | Rose City Dialysis, LLC | Clinic/Center | 10300 Sw Nimbus Ave Ste Pa, Portland, OR 97223-4345 | 2013-08-12 |
| 1023367893 | Rose City Dialysis LLC | Clinic/Center | 11909 Ne Glenn Widing Dr, Portland, OR 97220-9099 | 2012-09-07 |
| 1083726988 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2701 Nw Vaughn St Ste 150, Portland, OR 97210-5379 | 2006-08-31 |
| 1891807798 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 4905 Ne Martin Luther King Blvd., Portland, OR 97211-0000 | 2006-08-31 |
| 1982620969 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 1600 Congress Street, Portland, ME 04102 | 2006-07-14 |
| 1922037902 | Oregon Kidney Center | Clinic/Center | 5318 Ne Irving St, Portland, OR 97213-3158 | 2006-07-01 |
| Find all providers in PORTLAND | ||||
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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.