TRIAD DIALYSIS CENTER OF WAKE FOREST UNIVERSITY (NPI# 1740267681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740267681 |
| Entity Type | Organization |
| Organization Name | TRIAD DIALYSIS CENTER OF WAKE FOREST UNIVERSITY |
| Other Organization Name | TRIAD DIALYSIS CENTER |
| Practice Address |
4370 Regency Dr High Point NC 27265-9400 |
| Mailing Address |
Po Box 7710 Tifton GA 31793-7710 |
| Practice Telephone | 3364540076 |
| Practice Fax Number | 3364540231 |
| Mailing Telephone | 2293873527 |
| Mailing Fax Number | 2293862149 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | TERRY L HALES JR. (ASSISTANT TREASURER) |
| Authorized Official Telephone | 3367163003 |
| 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 |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3402599 | 05 | |
| NC | BCBS-NC | 00050 | 01 |
| Other Name | Type Code |
|---|---|
| Triad Dialysis Center | Doing Business As Name - Organization |
| Street Address |
4370 REGENCY DR |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27265-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066985 | Rowanty N. Jenkins | Registered Nurse | 4305 Holstein Drive, High Point, NC 27265 | 2020-09-02 |
| 1407355704 | Triad Pediatrics, PC | Pediatrics | 2754 Hwy 68, Suite 111, High Point, NC 27265 | 2018-02-02 |
| 1942730452 | Triad Women's Health and Wellness Center | Obstetrics & Gynecology | 3750 Admiral Dr., Suite 104, High Point, NC 27265 | 2017-06-16 |
| 1992235642 | Gina Cobb Davis | Registered Nurse | 2215 Hickswood Rd., High Point, NC 27265 | 2017-06-15 |
| 1700316395 | Jennifer George | Specialist/Technologist | 3988 Clubhouse Court Apt. 2h, High Point, NC 27265 | 2017-06-15 |
| 1730530510 | Safe Living Solutions | Contractor | 2209 Eastchester Dr., Ste 109, High Point, NC 27265 | 2016-06-23 |
| 1528412087 | Johnette Walser | Social Worker | 2411 Penny Road, Suite 102, High Point, NC 27265 | 2016-04-20 |
| 1093143489 | Debbie Schmitz | Specialist | 801 Lindsay St. Suite E, High Point, NC 27265 | 2013-10-22 |
| 1164786034 | Janice Rene' Swanson | Dietitian, Registered | 4515 Premier Dr Ste 401, High Point, NC 27265 | 2012-06-26 |
| 1053600551 | Lynn Buie Brooks | Counselor | 460 Sandybrooke Dr., High Point, NC 27265 | 2011-04-05 |
| Find all providers in zip 27265 | ||||
| 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 |
|---|---|---|---|---|
| 1558807719 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1320 Eastchester Dr, High Point, NC 27265-2349 | 2017-01-12 |
| 1225015373 | High Point Kidney Center of Wake Forest University | Clinic/Center | 1900 Westchester Dr, High Point, NC 27262-7012 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1730793571 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1422 Meadowbrook Rd, Rocky Mount, NC 27801-6700 | 2020-08-31 |
| 1114546298 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 67 Jr Rd Ste 1200, Selma, NC 27576-3458 | 2020-04-09 |
| 1972139640 | Fresenius Medical Care Holly Springs, LLC | Clinic/Center | 5045 Old Raleigh Rd, Cary, NC 27511-6479 | 2020-03-13 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1699318162 | Total Renal Care of North Carolina, LLC | Clinic/Center | 246 Olmsted Blvd Ste E, Pinehurst, NC 28374-6005 | 2019-10-28 |
| 1497398416 | Total Renal Care of North Carolina, LLC | Clinic/Center | 2621 Hendersonville Rd, Arden, NC 28704-9226 | 2019-10-22 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1962063156 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 565 Regency Blvd, Winterville, NC 28590-5503 | 2019-06-27 |
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | HIGH POINT |
| Zip Code | 27265 |
Please comment or provide details below to improve the information on TRIAD DIALYSIS CENTER OF WAKE FOREST UNIVERSITY.
| 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.