EVEREST HEALTHCARE INDIANA, INC. (NPI# 1730294570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730294570 |
| Entity Type | Organization |
| Organization Name | EVEREST HEALTHCARE INDIANA, INC. |
| Other Organization Name | TRI-COUNTIES DIALYSIS |
| Practice Address |
817 S 13th St Decatur IN 46733-1891 |
| Practice Telephone | 2607248303 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| 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 |
| Other Name | Type Code |
|---|---|
| TRI-COUNTIES DIALYSIS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386759124 | Everest Healthcare Indiana, Inc. | Clinic/Center | 8670 Broadway, Merrillville, IN 46410-7034 | 2006-08-20 |
| 1821103664 | Everest Healthcare Indiana, Inc. | Clinic/Center | 851 W Burrell Dr, Crown Point, IN 46307-8898 | 2006-08-20 |
| 1003921842 | Everest Healthcare Indiana, Inc. | Clinic/Center | 5972 Us Highway 6, Portage, IN 46368-4946 | 2006-08-20 |
| 1124045869 | Everest Healthcare Indiana, Inc. | Clinic/Center | 230 Bellemeade Ave, Evansville, IN 47713-1771 | 2006-07-17 |
| 1194830935 | Everest Healthcare Indiana, Inc. | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2006-08-20 |
| Street Address |
817 S 13TH ST |
| City | DECATUR |
| State | IN |
| Zip Code | 46733-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104247154 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 817 S 13th St, Decatur, IN 46733-1891 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742617 | Adams County Auditor | Public Health or Welfare | 313 W. Jefferson St., Room # 320, Decatur, IN 46733 | 2015-10-15 |
| 1184908386 | Logan D Anderson | Pharmacist | 123 N. 13th St, Decatur, IN 46733 | 2011-10-06 |
| 1992091797 | Leah D Keller | Social Worker | 815 High St Ste C, Decatur, IN 46733 | 2011-06-21 |
| 1144559493 | Preble Volunteer Firefighting Association, Inc. | Ambulance | 6242 N 400 W, Decatur, IN 46733 | 2009-12-16 |
| 1689703530 | Blake A Taylor | Dentist | 234 N First St, Decatur, IN 46733 | 2007-03-05 |
| 1124163563 | Decatur Dental Services,, Inc. | Dentist | Decatur, 6496 N Piqua Road, Decatur, IN 46733 | 2007-02-21 |
| 1215002597 | Kelly S Ulman | Dentist | 6496 N Piqua Rd, Decatur, IN 46733 | 2006-11-21 |
| 1841362712 | James E Taylor Dds and Associates Family Dentistry | Dentist | 234 N 1st St, Decatur, IN 46733 | 2006-11-15 |
| 1598844946 | Michael Alan Harshman | Optometrist | 815 South 13th St., Decatur, IN 46733 | 2006-11-06 |
| 1376043752 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733 | 2018-02-13 |
| Find all providers in zip 46733 | ||||
| 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 |
|---|---|---|---|---|
| 1871080465 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 5360 Snapfinger Woods Dr Ste 102, Decatur, GA 30035-4046 | 2018-04-18 |
| 1396270906 | Dialysis Services of Decatur LLC | Clinic/Center | 2705 Highway 31 S, Decatur, AL 35603-1507 | 2017-04-21 |
| 1760839922 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2834 Spring Ave Sw, Decatur, AL 35603-1218 | 2016-05-18 |
| 1295108983 | Total Renal Care Inc | Clinic/Center | 2442 Wesley Chapel Rd, Decatur, GA 30035-3420 | 2015-11-04 |
| 1942672423 | Odiorne Dialysis LLC | Clinic/Center | 2460 Wesley Chapel Rd, Ste 25d, Decatur, GA 30035-3420 | 2015-10-23 |
| 1699165290 | Dsi Dekalb, LLC | Clinic/Center | 4570 Memorial Dr Ste B, Decatur, GA 30032-1444 | 2015-02-03 |
| 1972746204 | Emory Dialysis, LLC | Clinic/Center | 2726 Candler Rd, Decatur, GA 30034-1410 | 2009-04-16 |
| 1962676155 | Total Renal Care Inc | Clinic/Center | 5255 Snapfinger Park Dr Ste 115, Decatur, GA 30035-4066 | 2008-04-17 |
| 1871712927 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2721 Irvin Way, Decatur, GA 30030-1720 | 2007-04-25 |
| 1730242538 | Decatur Hospital Authority | Clinic/Center | 2150 S Fm 51, Decatur, TX 76234 | 2006-12-19 |
| Find all providers in DECATUR | ||||
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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.