BORREGO DIALYSIS LLC (NPI# 1881050292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881050292 |
| Entity Type | Organization |
| Organization Name | BORREGO DIALYSIS LLC |
| Other Organization Name | WESTERN RIDGE DIALYSIS |
| Practice Address |
6909 Good Samaritan Dr Ste C Cincinnati OH 45247-5209 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5133530237 |
| Practice Fax Number | 5133530230 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|---|---|
| OH | 0203347 | 05 |
| Other Name | Type Code |
|---|---|
| Western Ridge Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184038903 | Borrego Dialysis LLC | Clinic/Center | 1532 Main St, Hamilton, OH 45013-1078 | 2014-06-19 |
| 1972843316 | Borrego Dialysis LLC | Clinic/Center | 10475 Harrison Ave, Harrison, OH 45030-1941 | 2013-02-21 |
| Street Address |
6909 GOOD SAMARITAN DR STE C |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350647 | Todd S Harrison | Specialist/Technologist | 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 | 2005-07-19 |
| 1144796962 | Myles Beeman | Physical Therapist | 6909 Good Samaritan Dr, Cincinnati, OH 45247-5208 | 2018-10-18 |
| 1427504224 | Brandon Modafari | Physical Therapist | 6909 Good Samaritan Dr, Ste. A, Cincinnati, OH 45247-5208 | 2016-08-31 |
| 1992166631 | Kristen Imhoff | Clinic/Center | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2016-03-08 |
| 1770986945 | Christina Ward | Occupational Therapist | 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 | 2014-10-02 |
| 1790188084 | Robert Schneider | Occupational Therapist | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2014-10-01 |
| 1346659364 | Jackie Joyce | Occupational Therapist | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2014-08-04 |
| 1578980603 | Christopher Chen | Orthopaedic Surgery | 6909 Good Samaritan Dr, Cincinnati, OH 45247-5208 | 2014-03-26 |
| 1053735944 | Trihealth G LLC | Dermatology | 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 | 2014-02-12 |
| 1275965709 | Trihealth Os, LLC | Orthopaedic Surgery | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2013-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| 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 |
|---|---|---|---|---|
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1225401649 | Cinld, LLC | Clinic/Center | 1555 Goodman Ave, Cincinnati, OH 45224-1058 | 2015-11-06 |
| 1144611278 | Texoma Dialysis LLC | Clinic/Center | 7700 Affinity Dr, Cincinnati, OH 45231-3566 | 2015-02-11 |
| 1033511092 | Infiniti Dialysis Center of Cincinnati LLC. | Clinic/Center | 4750 E. Galbraith Road, Suite #103, Cincinnati, OH 45236-6706 | 2014-09-22 |
| 1003236357 | Mermet Dialysis LLC | Clinic/Center | 7700 Affinity Pl, Cincinnati, OH 45231-3566 | 2014-04-24 |
| 1427489111 | Nxstage Cincinnati LLC | Clinic/Center | 12065 Montgomery Rd, Cincinnati, OH 45249-1728 | 2013-12-05 |
| 1922314582 | Fields Dialysis LLC | Clinic/Center | 2300 Wall St Ste O, Cincinnati, OH 45212-2789 | 2010-08-20 |
| 1770713026 | Dca of Kenwood LLC | Clinic/Center | 5150 E Galbraith Rd, Cincinnati, OH 45236-2871 | 2009-07-21 |
| 1730321696 | Fields Dialysis LLC | Clinic/Center | 1145 Kemper Meadow Dr, Cincinnati, OH 45240-4118 | 2009-03-24 |
| 1538304399 | Total Renal Care Inc | Clinic/Center | 3960 Red Bank Rd Ste 160, Cincinnati, OH 45227-3421 | 2008-12-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
Please comment or provide details below to improve the information on BORREGO DIALYSIS 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.