PRINEVILLE DIALYSIS LLC (NPI# 1679829493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679829493 |
| Entity Type | Organization |
| Organization Name | PRINEVILLE DIALYSIS LLC |
| Other Organization Name | POCONO HOME CENTER |
| Practice Address |
3361 Route 611 Ste 1 Bartonsville PA 18321-7821 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5706291292 |
| Practice Fax Number | 5706292482 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1028331050001 | 05 |
| Other Name | Type Code |
|---|---|
| Pocono Home Center | Doing Business As Name - Organization |
| Pocono Home Training | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538582051 | Prineville Dialysis LLC | Clinic/Center | 166 Eagles Glen Plz, East Stroudsburg, PA 18301-1349 | 2014-02-04 |
| Street Address |
3361 ROUTE 611 STE 1 |
| City | BARTONSVILLE |
| State | PA |
| Zip Code | 18321-7821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316907058 | Rozanne Secrest | Counselor | 3361 Route 611, Suite #2, Bartonsville, PA 18321-7821 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804375 | Michael Terrery Dentistry PC | Dentist | 3180 Rte 611, Fountain Court Suite 14, Bartonsville, PA 18321 | 2018-09-13 |
| 1962702605 | Mariama Foray | Registered Nurse | 12 Joann Road, Bartonsville, PA 18321 | 2010-10-28 |
| 1518183466 | Joseph J Sailus | Dentist | 102 State Route 611, Bartonsville Commons Suite #4, Bartonsville, PA 18321 | 2007-04-18 |
| 1902970098 | Gary Eugene Burkhart | Dentist | 99 Rt 611, Bartonsville, PA 18321 | 2006-11-20 |
| 1124364880 | Bartonsville Family Dental PC | Dentist | 3578 Route 611, Suite 245, Bartonsville, PA 18321-1767 | 2012-12-27 |
| 1972849644 | Tina Sebring | Behavioral Analyst | 232 Cherry Lane Rd, Bartonsville, PA 18321-7741 | 2012-12-27 |
| 1205281656 | William Bozek | Dentist | 3565 Route 611 Fl 2, Bartonsville, PA 18321-7800 | 2016-05-03 |
| 1821233578 | Bayada Home Health Care, Inc. | Home Health | 3565 Route 611 Ste 100, Bartonsville, PA 18321-7800 | 2008-12-10 |
| 1104483411 | St. Luke's Physician Group, Inc | Surgery | 3565 Route 611 Ste 300, Bartonsville, PA 18321-7800 | 2019-05-22 |
| 1265467153 | Christopher Guy Peechatka | Chiropractor | 3199 Route 611, Bartonsville, PA 18321-7808 | 2006-07-11 |
| Find all providers in zip 18321 | ||||
| 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 |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
| City | BARTONSVILLE |
| Zip Code | 18321 |
Please comment or provide details below to improve the information on PRINEVILLE 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.