DIALYSIS CLINIC INC (NPI# 1790271864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790271864 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC |
| Other Organization Name | COLUMBIA HOME DIALYSIS SERVICES |
| Practice Address |
3101 W Broadway Ste 115 Columbia MO 65203-0496 |
| Mailing Address |
3300 Lemone Industrial Blvd Columbia MO 65201-8246 |
| Practice Telephone | 5734462009 |
| Practice Fax Number | 5734462010 |
| Mailing Telephone | 5734431531 |
| Mailing Fax Number | 5734497653 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | MR. 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 |
| Other Name | Type Code |
|---|---|
| Columbia Home Dialysis Services | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1851809180 | Dialysis Clinic Inc | Clinic/Center | 650 Pointe North Blvd, Albany, GA 31721 | 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 |
3101 W BROADWAY STE 115 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-0496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| 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 |
|---|---|---|---|---|
| 1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
| 1245639996 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 140 Highland Center Dr., Columbia, SC 29203 | 2014-08-19 |
| 1366793630 | Total Renal Care Inc | Clinic/Center | 3320 Bluff Creek Dr Ste 105, Columbia, MO 65201-3662 | 2012-09-27 |
| 1104143460 | North Main Kidney Center LLC | Clinic/Center | 3900 North Main St, Columbia, SC 29203-6445 | 2010-04-27 |
| 1952540874 | American Red Cross | Clinic/Center | 1511 S Providence Rd, Columbia, MO 65203-3535 | 2009-02-17 |
| 1336399666 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 150 Park Central Dr, Columbia, SC 29203-6469 | 2008-09-23 |
| 1518136985 | Decker Dialysis LLC | Clinic/Center | 201 Columbia Mall Blvd, Ste 141, Columbia, SC 29223-7536 | 2008-02-29 |
| 1558421669 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 2139 Adams Grv, Columbia, SC 29203-7102 | 2006-12-11 |
| 1073615498 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 7631 Wilson Blvd, Columbia, SC 29203-3020 | 2006-09-05 |
| 1548372352 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1840 Pineview Dr, Columbia, SC 29209-5085 | 2006-08-31 |
| Find all providers in COLUMBIA | ||||
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.