DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. (NPI# 1891800645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891800645 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. |
| Other Organization Name | RCG CENTRAL ILLINOIS-CANTON |
| Practice Address |
340 S Avenue B Canton IL 61520-3047 |
| Practice Telephone | 3096472636 |
| Practice Fax Number | 3096472870 |
| Mailing Telephone | 3096472636 |
| Mailing Fax Number | 3096472870 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | MARK FAWCETT (SENIOR VICE PRESIDENT & TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
|---|---|
| RCG CENTRAL ILLINOIS-CANTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447368360 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1601 Mercury Ct, Suite 3a, Ottawa, IL 61350-9323 | 2006-08-29 |
| 1265548192 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 12 Wolfer Industrial Drive, Spring Valley, IL 61362 | 2006-08-22 |
| 1467568394 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1505 Eastland Medical Plaza, Lower Level, Bloomington, IL 61701 | 2006-08-22 |
| 1063527810 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 9801 Woods Dr, Skokie, IL 60077-1074 | 2006-08-20 |
| 1982719738 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1830 S 44th St, Decatur, IL 62521-5147 | 2006-08-20 |
| 1083729834 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 3300 N Main St, East Peoria, IL 61611-1562 | 2006-08-20 |
| 1629183470 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 2601 Harlem Ave, 1st Floor, Berwyn, IL 60402-2100 | 2006-08-20 |
| 1508971359 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 2953 Central St, Floor 1, Evanston, IL 60201-1245 | 2006-08-20 |
| 1265547012 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 9160 W 159th St, Orland Park, IL 60462-5648 | 2006-08-20 |
| 1972618726 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1404 Eastland Dr, Unit 103, Bloomington, IL 61701-3532 | 2006-08-20 |
| Street Address |
340 S AVENUE B |
| City | CANTON |
| State | IL |
| Zip Code | 61520-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| 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 |
|---|---|---|---|---|
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1629596267 | Isd Renal Inc | Clinic/Center | 2912 W Tuscarawas St, Canton, OH 44708-4643 | 2017-09-05 |
| 1174044093 | Fresenius Medical Care Stark County, LLC | Clinic/Center | 2835 Tuscarawas St. W, Canton, OH 44708-4600 | 2017-06-30 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| 1619332574 | Detroit Medical Center | Clinic/Center | 43205 Creekview Dr, Canton, MI 48187-3049 | 2015-12-19 |
| 1932522950 | Innovative Home Dialysis of Georgia, LLC | Clinic/Center | 3753 Marietta Hwy, Suite 100, Canton, GA 30114-8328 | 2014-01-27 |
| 1144467747 | My Father's House Dialysis Care Facility,llc | Clinic/Center | 1200 30th St Nw, Canton, OH 44709-2923 | 2009-01-19 |
| 1861643579 | Total Renal Care Inc | Clinic/Center | 4377 Whipple Ave Nw, Canton, OH 44718-2643 | 2008-10-01 |
| 1861649535 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 6064 N Sheldon Rd, Canton, MI 48187-2861 | 2008-08-25 |
| Find all providers in CANTON | ||||
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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.