WEST PENSACOLA DIALYSIS LLC (NPI# 1851415228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851415228 |
| Entity Type | Organization |
| Organization Name | WEST PENSACOLA DIALYSIS LLC |
| Other Organization Name | WEST PENSACOLA DIALYSIS CENTER |
| Practice Address |
598 N Fairfield Dr Pensacola FL 32506-4320 |
| Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 8524536066 |
| Practice Fax Number | 8504536681 |
| Mailing Telephone | 6153204521 |
| Mailing Fax Number | 8663175894 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | JIM HILGER (VICE PRESIDENT) |
| Authorized Official Telephone | 2533821919 |
| 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 |
|---|---|---|---|
| FL | 000094300 | 05 |
| Other Name | Type Code |
|---|---|
| West Pensacola Dialysis Center | Doing Business As Name - Organization |
| Street Address |
598 N FAIRFIELD DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32506-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326366329 | Total Renal Care Inc | Clinic/Center | 598 N Fairfield Dr, Ste 100, Pensacola, FL 32506-4320 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332942 | Abigail Irene Dudek | Behavior Technician | 6800 West Us-98, Pensacola, FL 32506 | 2020-06-26 |
| 1053957274 | Melissa Marie Swango | Technician | 3 Usher Cir, Pensacola, FL 32506 | 2019-11-22 |
| 1215479506 | Kerry Jo Pham | Advanced Practice Midwife | 225 N New Warrington Rd, Pensacola, FL 32506 | 2016-11-17 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
| 1215023726 | Martha Goff | Pharmacist | 50 S. Blue Angel Parkway, Pensacola, FL 32506 | 2006-10-04 |
| 1881703635 | John Daniel Hodge | Dentist | 4800 W Fairfield Dr, Pensacola, FL 32506 | 2006-08-29 |
| 1417066275 | Fairfield Dental Center | Dentist | 4800 W. Fairfield Drive, Pensacola, FL 32506 | 2006-08-29 |
| 1942277793 | Phillip Martine Drlicka | Dentist | 901 N Warrington Rd, Pensocola, FL 32506 | 2006-03-01 |
| 1083694186 | Lester Shawn Bowling | Internal Medicine | 321 South Fairfield Dr, Pensacola, FL 32506 | 2006-01-17 |
| Find all providers in zip 32506 | ||||
| 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 |
|---|---|---|---|---|
| 1326566084 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5476 Mobile Hwy, Pensacola, FL 32526-2104 | 2017-09-01 |
| 1215287115 | Reef Dialysis LLC | Clinic/Center | 812 Creighton Rd, Pensacola, FL 32504-7028 | 2012-09-18 |
| 1639445463 | Total Renal Care Inc | Clinic/Center | 700 E Cervantes St, Ste A, Pensacola, FL 32501-3489 | 2012-03-27 |
| 1992817738 | Renal Care Group of The Southeast, Inc. | Clinic/Center | 1305 W Moreno St, Pensacola, FL 32501-2321 | 2006-08-31 |
| 1619089455 | Renal Care Group of The Southeast Inc | Clinic/Center | 1040 E Nine Mile Rd, Pensacola, FL 32514-1649 | 2006-08-31 |
| 1619089463 | Rcg Pensacola, LLC | Clinic/Center | 2940 N Blue Angel Pkwy, Pensacola, FL 32506-2925 | 2006-08-31 |
| 1326366329 | Total Renal Care Inc | Clinic/Center | 598 N Fairfield Dr, Ste 100, Pensacola, FL 32506-4320 | 2010-05-14 |
| 1356453195 | Renal Care Group of The Southeast Inc | Clinic/Center | 5401 Corporate Woods Dr, Suite 850, Pensacola, FL 32504-8984 | 2006-08-31 |
| 1265544001 | Renal Care Group of The Southeast Inc | Clinic/Center | 5151 N 9th Ave, Depaul Bldg. 3rd Fl., Pensacola, FL 32504-8721 | 2006-08-31 |
| 1336117670 | Renal Treatment Centers Southeast Lp | Clinic/Center | 8333 N Davis Hwy, 1st Floor Attn Dialysis Room, Pensacola, FL 32514 | 2006-03-11 |
| Find all providers in PENSACOLA | ||||
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| 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.