HARBIN CLINIC, LLC (NPI# 1861680118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861680118 |
Entity Type | Organization |
Organization Name | HARBIN CLINIC, LLC |
Other Organization Name | HARBIN CLINIC SUMMERVILLE DIALYSIS CENTER |
Practice Address |
12541 Highway 27 Summerville GA 30747-5818 |
Mailing Address |
1825 Martha Berry Blvd Nw Rome GA 30165-1625 |
Practice Telephone | 7062388088 |
Mailing Telephone | 7062955331 |
Enumeration Date | 2007-10-11 |
Last Update Date | 2008-06-17 |
Authorized Official Name | KENNETH FRANKLIN DAVIS (PRESIDENT & CEO) |
Authorized Official Telephone | 7062955331 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | HARBIN CLINIC, LLC |
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 |
---|---|
Harbin Clinic Summerville Dialysis Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528111283 | Harbin Clinic, LLC | Durable Medical Equipment & Medical Supplies | 101 John Maddox Dr Nw, Rome, GA 30165-1419 | 2007-01-18 |
1851302236 | Harbin Clinic, LLC | Clinic/Center | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2006-08-10 |
1679599088 | Harbin Clinic, LLC | Durable Medical Equipment & Medical Supplies | 221 Technology Pkwy Nw, Rome, GA 30165-1369 | 2006-07-15 |
1467016055 | Harbin Clinic, LLC | Clinic/Center | 200 Gentilly Blvd, Cartersville, GA 30120 | 2019-04-29 |
1982091294 | Harbin Clinic, LLC | Clinic/Center | 855 Curtis Pkwy Se, Calhoun, GA 30701-3688 | 2015-04-24 |
1487993739 | Harbin Clinic, LLC | Clinic/Center | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2013-02-06 |
1063698595 | Harbin Clinic, LLC | Clinical Medical Laboratory | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2008-01-15 |
1902094014 | Harbin Clinic, LLC | Clinic/Center | 14 Cherokee Rd, Cedartown, GA 30125-4381 | 2007-10-15 |
1063615235 | Harbin Clinic, LLC | Durable Medical Equipment & Medical Supplies | 316 W 10th St Ne, Rome, GA 30165-2639 | 2007-06-06 |
1952504201 | Harbin Clinic, LLC | Durable Medical Equipment & Medical Supplies | 958 Joe Frank Harris Pkwy Se Bldg A, Suite 101, Cartersville, GA 30120-2151 | 2007-06-06 |
Street Address |
12541 HIGHWAY 27 |
City | SUMMERVILLE |
State | GA |
Zip Code | 30747-5818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053823864 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 12541 Highway 27, Summerville, GA 30747-5818 | 2017-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295162121 | Erin Marks Pledger | Counselor | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
1124377700 | Vickie Darlene Hice | Occupational Therapist | 1079 Brooks Road, Summerville, GA 30747 | 2012-08-29 |
1033479340 | Magdana Philossaint | Social Worker | 9991 Commerce St., Summerville, GA 30747 | 2012-05-21 |
1265667828 | Christina Douglass | Family Medicine | 11766 Hwy 27 North, Summerville, GA 30747 | 2009-05-26 |
1922118199 | Melissa June Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
1871920710 | Tyler Wayne Pledger | Behavioral Analyst | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
1750506622 | Patrick A Parrino | Dentist | 19 Walnut Ave, Summerville, GA 30747 | 2007-04-16 |
1811007099 | Richard Dennis Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
1942310107 | Richard Keith Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
1336339076 | Summerville Chiropractic, Inc. | Chiropractor | 74 Highway 48, Summerville, GA 30747-0424 | 2007-07-30 |
Find all providers in zip 30747 |
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 |
---|---|---|---|---|
1740845445 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 300 Baxter Brown Way, Summerville, SC 29486-8105 | 2019-05-08 |
1467902858 | Attell Dialysis LLC | Clinic/Center | 2143 N Main St, Summerville, SC 29486-7800 | 2016-10-10 |
1902208937 | Fresenius Medical Care Goose Creek Home Dialysis, LLC | Clinic/Center | 1980 N Main St, Summerville, SC 29483-7812 | 2014-09-22 |
1578740387 | Jedburg Dialysis LLC | Clinic/Center | 2897 W 5th North St, Summerville, SC 29483-9674 | 2008-01-23 |
1235148842 | Rai Care Centers of South Carolina I, LLC | Clinic/Center | 975 Bacons Bridge Rd Unit 136, Summerville, SC 29485-4189 | 2006-08-05 |
1053823864 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 12541 Highway 27, Summerville, GA 30747-5818 | 2017-11-02 |
1679944003 | Total Renal Care Inc | Clinic/Center | 2897 W 5th North St, Summerville, SC 29483-9674 | 2015-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871190207 | Usrc Powder Springs Home LLC | Clinic/Center | 3721 New Macland Rd Ste 100b, Powder Springs, GA 30127-2000 | 2020-10-08 |
1083229280 | Bio- Medical Applications of Georgia, Inc. | Clinic/Center | 145 W Hendry St, Hinesville, GA 31313-3201 | 2020-09-14 |
1336759463 | Plattaz Dialysis, LLC | Clinic/Center | 100 Promenade Pkwy Ste C, Fayetteville, GA 30214-7735 | 2020-08-04 |
1174140743 | Home Dialysis Services Norcross LLC | Clinic/Center | 3780 Holcomb Bridge Rd Ste E, Norcross, GA 30092-4877 | 2020-06-30 |
1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
1598389132 | Concerto Georgia LLC | Clinic/Center | 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 | 2020-05-29 |
1629607098 | Rutledge Dialysis, LLC | Clinic/Center | 1719 New Hope Rd, Lawrenceville, GA 30045-6570 | 2020-04-07 |
1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
1659915882 | Filmore Dialysis, LLC | Clinic/Center | 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 | 2019-10-31 |
1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
Find all providers with the same taxonomy |
City | SUMMERVILLE |
Zip Code | 30747 |
Please comment or provide details below to improve the information on HARBIN CLINIC, LLC.
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.