SOUTHEASTERN INDIANA DIALYSIS LLC


Address: 1400 N Cherry St, Rushville, IN 46173-1097
Phone: 7659324985

SOUTHEASTERN INDIANA DIALYSIS LLC (NPI# 1811141930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811141930
Entity Type Organization
Organization Name SOUTHEASTERN INDIANA DIALYSIS LLC
Other Organization Name RUSH COUNTY DIALYSIS
Practice Address 1400 N Cherry St
Rushville
IN 46173-1097
Mailing Address 5200 Virginia Way
Ste 400 L&c
Brentwood
TN 37027-7569
Practice Telephone 7659324985
Practice Fax Number 7659324716
Mailing Telephone 6153204521
Mailing Fax Number 8665942894
Enumeration Date 2008-11-17
Last Update Date 2009-08-27
Authorized Official Name JIM HILGER (VICE PRESIDENT)
Authorized Official Telephone 2833821919
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
IN 200942310 A 05

Other Provider/Organization Names

Other Name Type Code
Rush County Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043475312 Southeastern Indiana Dialysis LLC Clinic/Center 2340 North State Highway 7, North Vernon, IN 47265-7183 2008-07-25

Office Location

Street Address 1400 N CHERRY ST
City RUSHVILLE
State IN
Zip Code 46173-1097

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932422508 Total Renal Care Inc Clinic/Center 1400 N Cherry St, Rushville, IN 46173-1097 2010-03-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396267969 Teodora Manlangit Ordas Physical Therapist 1201 Smith Drive, Rushville, IN 46173 2017-07-14
1831394758 Ryan S White Family Medicine 1300 N. Main Street, Rushville, IN 46173 2007-06-20
1245371715 John Wayne Gasser Marriage & Family Therapist 218 North Perkins Ave, Rushville, IN 46173 2007-02-09
1174534887 Orthopaedic Surgical Care Institute Orthopaedic Surgery 1300 North Main Street, Rushville, IN 46173 2006-08-10
1295775161 Darin Wade Wallace Chiropractor 1520 North Main Street, Rushville, IN 46173 2006-06-07
1891755286 Kurt Leon Jacobs Family Medicine 807 S St Rd 3, Rushville, IN 46173 2006-03-28
1063498343 Gregory Edmund Hyde Otolaryngology 110 E. 13th Street, Rushville, IN 46173 2005-12-19
1396736054 Jitendra M Amin Family Medicine 725 N Spencer St, Rushville, IN 46173 2005-11-02
1669960845 Cheryl L Turner-romans Social Worker 201 Conrad Harcourt Way, Suite A, Rushville, IN 46173 2018-04-24
1982971016 Teresa D Geis Registered Nurse 1300 N Main Street, Rushville, IN 46173 2011-11-17
Find all providers in zip 46173

Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205805488 Dva Renal Healthcare Inc Clinic/Center 112 Sullivan Dr, Rushville, IL 62681-1293 2006-03-17
1932422508 Total Renal Care Inc Clinic/Center 1400 N Cherry St, Rushville, IN 46173-1097 2010-03-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942858436 Fresenius Medical Care Kyana, LLC Clinic/Center 604 Mount Tabor Rd, New Albany, IN 47150-2211 2019-08-28
1982263398 Fresenius Medical Care North Elkhart, LLC Clinic/Center 801 W Bristol St, Elkhart, IN 46514 2019-06-10
1114583697 Dialysis Care Center Merrillville LLC Clinic/Center 349 W 80th Pl, Merrillville, IN 46410-5433 2019-05-10
1043875180 Usrc Mhp, LLC Clinic/Center 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 2019-05-03
1326601808 The Dialysis Center of Hammond-whiting LLC Clinic/Center 1005 5th Avenue, Hammond, IN 46320-1004 2019-04-19
1770049017 Dialyze Direct In LLC Clinic/Center 13295 Illinois St Ste 210, Carmel, IN 46032-3021 2019-02-12
1174006662 Isd Renal Inc Clinic/Center 2636 W Michigan St, Indianapolis, IN 46222-3727 2018-09-11
1770062663 The Dialysis Center of Valparaiso LLC Clinic/Center 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 2018-08-10
1831685882 Total Renal Care Inc Clinic/Center 2 Executive Dr Ste B, Lafayette, IN 47905-4878 2018-07-02
1609378165 The Dialysis Center of Gary LLC Clinic/Center 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 2018-03-01
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Competitor

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City RUSHVILLE
Zip Code 46173

Improve Information

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Dataset Information

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.

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