COOPER DIALYSIS LLC


Address: 966 Isabel Dr, Lebanon, PA 17042-7482
Phone: 7172731026

COOPER DIALYSIS LLC (NPI# 1871977108) 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) 1871977108
Entity Type Organization
Organization Name COOPER DIALYSIS LLC
Other Organization Name QUENTIN CIRCLE DIALYSIS
Practice Address 966 Isabel Dr
Lebanon
PA 17042-7482
Mailing Address 5200 Virginia Way
L & C Dept
Brentwood
TN 37027-7569
Practice Telephone 7172731026
Practice Fax Number 7172777204
Mailing Telephone 6153416410
Mailing Fax Number 8886628259
Enumeration Date 2015-07-16
Last Update Date 2020-09-22
Authorized Official Name JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
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
PA 1030910200001 05

Other Provider/Organization Names

Other Name Type Code
Quentin Circle Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669609715 Cooper Dialysis LLC Clinic/Center 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 2009-06-16

Office Location

Street Address 966 ISABEL DR
City LEBANON
State PA
Zip Code 17042-7482

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023676384 Sandra L Pistone Registered Nurse 905 S. 2nd Ave, Lebanon, PA 17042 2019-06-03
1154848414 Kihc, LLC Home Health 900-c Centerville Road, Suite C, Lancaster, PA 17042 2017-08-28
1316301724 Good Samaritan Physician Services Radiology 844 Tuck Street, Lebanon, PA 17042 2016-04-12
1609265883 Ashley Hess Behavioral Analyst 15th South 9th Street, Lebanon, PA 17042 2015-01-12
1932504727 Anthony Salvadore Petrole Physician Assistant 252 4th Street, Lebanon, PA 17042 2014-10-23
1801209713 Matthew Johnson Family Medicine 920 Church Street, Lebanon, PA 17042 2014-06-09
1437414505 Odalys Gonzalez-rodriguez Physical Therapist 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 2012-07-05
1750677175 Anita Lyn Stokes Speech-Language Pathologist 1126 Walnut Street, Lebanon, PA 17042 2011-06-23
1205126497 Karey Lynn Foote Pharmacist 415 S. 9th St, Lebanon, PA 17042 2011-04-09
1013227685 T. W. Ponessa and Associates Counseling Services, Inc. Community/Behavioral Health 101 E. Evergreen Road, Lebanon, PA 17042 2010-10-18
Find all providers in zip 17042

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
1588214498 Dialysis Care Center Lebanon LLC Clinic/Center 550 Isabel Dr Ste 1, Lebanon, PA 17042-7205 2019-09-13
1982985388 Fresenius Medical Care Dialysis Services Oregon, LLC Clinic/Center 665 N 5th St, Lebanon, OR 97355-2875 2011-08-30
1770810293 Rai Care Centers of Lebanon I LLC Clinic/Center 1701 West Main Street, Suite 101, Lebanon, TN 37087 2009-11-04
1477753325 River Valley Dialysis LLC Clinic/Center 918b Columbus Ave, Lebanon, OH 45036-1402 2007-07-19
1336349273 Ohio River Dialysis LLC Clinic/Center 918 B Columbus Ave, #1, Lebanon, OH 45036-1402 2007-07-19
1700931714 Liberty Dialysis - Lebanon LLC Clinic/Center 2485 N Lebanon St, Lebanon, IN 46052-1186 2007-01-23
1992714604 Bio-medical Applications of New Hampshire, Inc. Clinic/Center 56 Etna Rd, Lebanon, NH 03766-1419 2006-08-05
1750382610 Gsh Dialysis, Inc. Clinic/Center 440 Oak St, Lebanon, PA 17042-6243 2005-08-02
1255971362 Renpro Indiana LLC Clinic/Center 1585 Perry Worth Rd, Lebanon, IN 46052-9635 2020-01-07
1093141814 Total Renal Care Inc Clinic/Center 440 Oak St, Lebanon, PA 17042-6243 2013-09-25
Find all providers in LEBANON

Competitor

Search similar providers

City LEBANON
Zip Code 17042

Improve Information

Please comment or provide details below to improve the information on COOPER DIALYSIS LLC.

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.

Trending Searches