KIDNEY CARE SERVICES OF DUBOIS LLC (NPI# 1689869679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689869679 |
| Entity Type | Organization |
| Organization Name | KIDNEY CARE SERVICES OF DUBOIS LLC |
| Practice Address |
635 Maple Ave Box D Du Bois PA 15801-2376 |
| Practice Telephone | 8143754321 |
| Practice Fax Number | 8143756157 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | MRS. LINDA J SPENCER (MANAGING EMPLOYEE) |
| Authorized Official Telephone | 8145909618 |
| Authorized Official Credential | R.N. |
| 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 |
| Street Address |
635 MAPLE AVE BOX D |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528002573 | John Wade Lobb | Psychologist | 635 Maple Ave, Du Bois, PA 15801-2376 | 2006-06-16 |
| 1962917245 | Mary Elizabeth Logan | Nurse Practitioner | 635 Maple Ave, Du Bois, PA 15801-2376 | 2017-12-07 |
| 1033661335 | Bethany Lindemuth | Social Worker | 635 Maple Ave, Du Bois, PA 15801 | 2016-11-03 |
| 1881063279 | Olivia Luzier | Social Worker | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-09-16 |
| 1851776397 | Dubois Regional Medical Center - Penn Highlands Dubois East Campus | Family Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-07-27 |
| 1366836959 | Arianne Zimmerman | Counselor | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-03-23 |
| 1487937199 | Dubois Regional Medical Center | Internal Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2011-09-20 |
| 1770893141 | Megan E Lyle | Physician Assistant | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-10-19 |
| 1710296157 | Dubois Regional Medical Center | Family Medicine | 635 Maple Ave, Du Bois, PA 15801 | 2010-10-04 |
| 1043523657 | Huma Ansari | Psychiatry & Neurology | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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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.