FLINT HILLS DIALYSIS, LLC (NPI# 1881823516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881823516 |
Entity Type | Organization |
Organization Name | FLINT HILLS DIALYSIS, LLC |
Practice Address |
1133 College Ave Building B, Suite 266 Manhattan KS 66502-2770 |
Practice Telephone | 7855659500 |
Practice Fax Number | 7855659595 |
Mailing Telephone | 7855659500 |
Mailing Fax Number | 7855659595 |
Enumeration Date | 2009-07-02 |
Last Update Date | 2016-08-30 |
Authorized Official Name | DR. FADI VICTOR BEDROS (PRESIDENT) |
Authorized Official Telephone | 7852504808 |
Authorized Official Credential | MD |
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 |
418000 | KS | Ambulatory Health Care Facilities |
Street Address |
1133 COLLEGE AVE BUILDING B, SUITE 266 |
City | MANHATTAN |
State | KS |
Zip Code | 66502-2770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801899240 | Rosanne C Kreller | Nurse Practitioner | 1133 College Ave, Ste E230, Manhattan, KS 66502-2795 | 2005-05-31 |
1922615806 | Christina Guhr | Nurse Practitioner | 1133 College Ave, Manhattan, KS 66502-2770 | 2020-09-25 |
1417439977 | Kelli Renae Pettijohn | Physical Therapy Assistant | 1133 College Ave, Manhattan, KS 66502-2770 | 2018-08-31 |
1063907376 | Prism Diagnostics, LLC | Clinical Medical Laboratory | 1133 College Ave, Building C, Suite 145, Manhattan, KS 66502-2751 | 2018-06-28 |
1396266060 | Stacey L Marti | Physical Therapist | 1133 College Ave, Manhattan, KS 66502-2770 | 2017-07-03 |
1457891244 | Gilberto Magallanes | Occupational Therapy Assistant | 1133 College Ave, A213, Manhattan, KS 66502-2770 | 2017-02-28 |
1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
1255875852 | Dental Associates of Manhattan LLC | Dentist | 1133 College Ave, Suite D202, Manhattan, KS 66502-2770 | 2016-12-15 |
1457802613 | Laura Simons | Behavioral Analyst | 1133 College Ave, Manhattan, KS 66502-2770 | 2016-10-21 |
1528517901 | No Stone Unturned Foundation | Clinic/Center | 1133 College Ave, Suite A213, Manhattan, KS 66502-2770 | 2016-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
Find all providers in zip 66502 |
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 |
---|---|---|---|---|
1457704637 | Total Renal Care Inc | Clinic/Center | 519 Mccall Rd Ste 100, Manhattan, KS 66502-5038 | 2016-07-22 |
1760532097 | Kansas Dialysis Services Lc | Clinic/Center | 1133 College Ave, Upper Level Bldg B Ste 266, Manhattan, KS 66502-2770 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083248181 | Pure Life Renal of Overland Park, LLC | Clinic/Center | 11661 College Blvd Ste 106, Overland Park, KS 66210-4107 | 2020-02-27 |
1093226086 | Total Renal Care Inc | Clinic/Center | 12201 W 110th St, Overland Park, KS 66210-0004 | 2017-10-17 |
1306381942 | Caddoan Dialysis LLC | Clinic/Center | 2852 W 47th Ave, Kansas City, KS 66103-3243 | 2017-01-05 |
1982150595 | Bio-medical Applications of Kansas, Inc. | Clinic/Center | 3408 Se 29th St, Topeka, KS 66605 | 2016-09-01 |
1871943712 | Fresenius Medical Care Garden City LLC | Clinic/Center | 2053 E Mary St, Garden City, KS 67846-3617 | 2016-06-21 |
1558725259 | Caesar Dialysis LLC | Clinic/Center | 2425 S Rouse St, Pittsburg, KS 66762-6606 | 2016-04-08 |
1588021968 | Total Renal Care Inc | Clinic/Center | 1812 S Seneca St, Ste 110, Wichita, KS 67213-4104 | 2016-01-15 |
1962871012 | Total Renal Care Inc | Clinic/Center | 1918 E 23rd St, Lawrence, KS 66046-5069 | 2015-09-18 |
1538538673 | Total Renal Care Inc | Clinic/Center | 14010 W 134th Pl, Olathe, KS 66062-6139 | 2015-09-18 |
1710368063 | Home Dialysis Services Kansas City | Clinic/Center | 6740 W 121st St Ste 100, Overland Park, KS 66209-2042 | 2015-06-12 |
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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.