MASON - DIXON DIALYSIS FACILITIES INC (NPI# 1841252897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841252897 |
| Entity Type | Organization |
| Organization Name | MASON - DIXON DIALYSIS FACILITIES INC |
| Other Organization Name | GETTYSBURG DIALYSIS |
| Practice Address |
26 Springs Ave Ste. C Gettysburg PA 17325-1717 |
| Mailing Address |
5200 Virginia Way Ste. 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 7173379434 |
| Practice Fax Number | 7173373668 |
| Mailing Telephone | 6153204218 |
| Mailing Fax Number | 3032097825 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | THOMAS O. USILTON JR. (GROUP VICE PRESIDENT) |
| Authorized Official Telephone | 7705417922 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 01443390 | 05 |
| Other Name | Type Code |
|---|---|
| Gettysburg Dialysis | Doing Business As Name - Organization |
| Street Address |
26 SPRINGS AVE STE. C |
| City | GETTYSBURG |
| State | PA |
| Zip Code | 17325-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
| 1578039574 | Cpmoptometry LLC | Point of Service | Walmart Vision, 3271 Pa 940, Mt Pocono, PA 17325 | 2018-10-17 |
| 1306353933 | Hayley Michelle Kidd | Physical Therapist | 237 Savannah Dr, Gettysburg, PA 17325 | 2018-01-04 |
| 1700247582 | Renee Lehman LLC | Physical Therapist | 249 B York Street, Gettysburg, PA 17325 | 2016-03-08 |
| 1245664820 | Kera Joan Provost | Pharmacist | 40 V-twin Drive, Suite 107, Gettysburg, PA 17325 | 2013-08-30 |
| 1790922524 | Shannon Shutika | Physical Therapist | 867 York Road, Gettysburg, PA 17325 | 2009-01-15 |
| 1245489988 | Edward Mitchell O'brien | Acupuncturist | 2311 Fairfield Rd., Suite E, Gettysburg, PA 17325 | 2008-09-18 |
| 1184882011 | The Gettysburg Hospital-short Procedure | Clinic/Center | 450 South Washington St, Suite A, Gettysburg, PA 17325 | 2008-05-28 |
| 1619196227 | Susquehanna Optical Inc | Eyewear Supplier (Equipment, not the service) | 506 W. Middle St., Gettysburg, PA 17325 | 2007-04-24 |
| 1164542437 | John Martin Fidler | Prosthetic/Orthotic Supplier | 26 Baltimore St, Gettysburg, PA 17325 | 2007-03-30 |
| Find all providers in zip 17325 | ||||
| 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 |
|---|---|---|---|---|
| 1467966127 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 20 Expedition Trl, Ste 202, Gettysburg, PA 17325-8599 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
| City | GETTYSBURG |
| Zip Code | 17325 |
Please comment or provide details below to improve the information on MASON - DIXON DIALYSIS FACILITIES 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.