DIALYSIS CLINIC INC (NPI# 1790227403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790227403 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC |
| Practice Address |
303 Ridgewater Dr Polson MT 59860-8547 |
| Mailing Address |
135 Commons Way Kalispell MT 59901-1900 |
| Practice Telephone | 4068830534 |
| Practice Fax Number | 4068830524 |
| Mailing Telephone | 4067565565 |
| Mailing Fax Number | 4067567712 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | WILLIAM E WOOD II (PRESIDENT) |
| Authorized Official Telephone | 6153273061 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
| 1871128173 | Dialysis Clinic Inc | Clinic/Center | 1955 36th St, Sacramento, CA 95816-6634 | 2020-03-06 |
| 1417581810 | Dialysis Clinic Inc | Clinic/Center | 1400 Ne Waldo Rd, Gainesville, FL 32641-4689 | 2020-02-25 |
| 1053964569 | Dialysis Clinic Inc | Case Management | 300 Cahaba Park Cir Ste 208, Birmingham, AL 35242-5043 | 2019-07-23 |
| 1255997110 | Dialysis Clinic Inc | Clinic/Center | 222 Saint Nazaire Rd, Broussard, LA 70518-4205 | 2019-05-16 |
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1740798073 | Dialysis Clinic Inc | Clinic/Center | 173 Patty Hill Road, Caryville, TN 37714 | 2018-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | DIALYSIS CLINIC INC | 1633 Church St., Ste 500, Nashville, TN 37203 |
| Street Address |
303 RIDGEWATER DR |
| City | POLSON |
| State | MT |
| Zip Code | 59860-8547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| 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 |
|---|---|---|---|---|
| 1144682758 | Fresenius Medical Care of Montana LLC | Clinic/Center | 305 Ridgewater Dr, Polson, MT 59860-8547 | 2016-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284814 | Community Medical Center Dialysis | Clinic/Center | 1325 S Reserve St, Missoula, MT 59801-4759 | 2018-08-10 |
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1073975686 | Gfld,llc | Clinic/Center | 1724 26th Street S, Great Falls, MT 59405-5272 | 2016-03-23 |
| 1043634280 | Billings Clinic Dialysis LLC | Clinic/Center | 616 N 25th St, Billings, MT 59101-1040 | 2014-02-07 |
| 1578993663 | Total Renal Care Inc | Clinic/Center | 3400 10th Ave S, Ste 1, Great Falls, MT 59405-3473 | 2013-11-26 |
| 1679871537 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3745 Harrison Ave, Suite D, Butte, MT 59701-6814 | 2011-03-02 |
| 1861790727 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3100 Great Northern Ave, Missoula, MT 59808-1539 | 2011-03-02 |
| 1053477547 | Billings Clinic | Clinic/Center | I 90 & 212, Crow Agency, MT 59022 | 2006-12-29 |
| 1659483048 | Fort Peck Tribes | Clinic/Center | 107 H St, Poplar, MT 59255-1027 | 2006-08-31 |
| 1124043815 | Dialysis Clinic Inc. | Clinic/Center | 760 Hopsital Circle, Browning, MT 59417 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIALYSIS CLINIC INC.
| 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.