DSI RENAL INC (NPI# 1891740106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891740106 |
Entity Type | Organization |
Organization Name | DSI RENAL INC |
Other Organization Name | NRI PHOENIX SOUTH |
Practice Address |
4621 S Central Ave Phoenix AZ 85040-2148 |
Mailing Address |
511 Union St Suite 1800 Nashville TN 37219-1733 |
Practice Telephone | 6023041977 |
Practice Fax Number | 6023041870 |
Mailing Telephone | 6154670134 |
Mailing Fax Number | 6152342422 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2008-02-06 |
Authorized Official Name | MRS. GRETCHEN K BARR (VP OF REIMBURSEMENT) |
Authorized Official Telephone | 6154670134 |
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 |
Other Name | Type Code |
---|---|
NRI Phoenix South | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164441515 | Dsi Renal Inc | Clinic/Center | 7929 S Ciaro Avenue, Scottsdale, IL 60652 | 2006-07-18 |
1801837372 | Dsi Renal Inc | Clinic/Center | 100 Ne Missouri Road, Lees Summit, MO 64086 | 2006-06-08 |
1598711012 | Dsi Renal Inc | Clinic/Center | 125 Airport Pkwy, Suite 140, Greenwood, IN 46143-1441 | 2006-05-26 |
1427004001 | Dsi Renal Inc | Clinic/Center | 2333 Renaissance Dr, Las Vegas, NV 89119-6191 | 2006-05-26 |
1457307167 | Dsi Renal Inc | Clinic/Center | 125 Whitmire Rd, Easley, SC 29640-1426 | 2006-05-25 |
1033164066 | Dsi Renal Inc | Clinic/Center | 2620 W Broadway, Mesa, AZ 85202-1071 | 2006-05-25 |
1760438329 | Dsi Renal Inc | Clinic/Center | 40 Hemingway Dr, East Providence, RI 02915-2224 | 2006-05-25 |
1003862038 | Dsi Renal Inc | Clinic/Center | 406 N Acadia Rd, Thibodaux, LA 70301-4856 | 2006-05-25 |
1841245875 | Dsi Renal Inc | Clinic/Center | 8046 N 19th Ave, Suite 21, Phoenix, AZ 85021-5101 | 2006-05-25 |
1073569687 | Dsi Renal Inc | Clinic/Center | 110 Chalmers Road, Suite C, Greenville, SC 29605-1351 | 2006-05-25 |
Street Address |
4621 S CENTRAL AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85040-2148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588947048 | Dialysis Newco Inc | Clinic/Center | 4621 S Central Ave, Phoenix, AZ 85040-2148 | 2011-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
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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 |
---|---|---|---|---|
1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
1982152484 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 4901 W Mcdowell Rd Ste 120, Phoenix, AZ 85035-4160 | 2016-09-14 |
1528442779 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16605 N 28th Ave Ste 100, Phoenix, AZ 85053-7551 | 2015-07-17 |
1295070761 | Calaveras Dialysis LLC | Clinic/Center | 5115 E Thomas Rd, Ste 115, Phoenix, AZ 85018-7914 | 2012-12-10 |
1801050604 | Southwest Kidney-davita Dialysis Partners LLC | Clinic/Center | 3540 E Baseline Rd Ste 110, Phoenix, AZ 85042-9628 | 2008-07-11 |
1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
1891897211 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1957 W Dunlap Ave Ste 6c, Phoenix, AZ 85021-2985 | 2006-09-05 |
1053423954 | Bio-medical Applications of Arizona LLC | Clinic/Center | 3421 N 7th Ave, Phoenix, AZ 85013-3635 | 2006-08-31 |
1477665289 | Renal Dimensions, LLC | Clinic/Center | 15930 S 48th St, Suite 100, Phoenix, AZ 85048-0903 | 2006-08-31 |
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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.