CHAFFEE DIALYSIS LLC (NPI# 1902392111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902392111 |
| Entity Type | Organization |
| Organization Name | CHAFFEE DIALYSIS LLC |
| Other Organization Name | PHALEN DIALYSIS |
| Practice Address |
862 Arcade St Saint Paul MN 55106 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 6517760466 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | JAMES 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 |
| Other Name | Type Code |
|---|---|
| Phalen Dialysis | Doing Business As Name - Organization |
| Street Address |
862 ARCADE ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| 1407364813 | Immaculate Home Care LLC | Home Health | 3731 Idaho Avenue East, St. Paul, MN 55106 | 2018-01-19 |
| Find all providers in zip 55106 | ||||
| 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 |
|---|---|---|---|---|
| 1407045891 | Total Renal Care Inc | Clinic/Center | 1559 7th St W, Saint Paul, MN 55102-4243 | 2007-10-22 |
| 1598954984 | Total Renal Care Inc | Clinic/Center | 1744 Old Hudson Rd, Saint Paul, MN 55106-6118 | 2007-10-22 |
| 1538241443 | Total Renal Care Inc | Clinic/Center | 555 Park St Ste 110, Saint Paul, MN 55103-2193 | 2006-10-19 |
| 1447366372 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 445 Etna Street, Suite 60, Saint Paul, MN 55106-5848 | 2006-08-22 |
| 1427012434 | Total Renal Care Inc | Clinic/Center | 555 Park St, Ste 180, Saint Paul, MN 55103-2192 | 2006-04-14 |
| 1114981586 | Total Renal Care Inc | Clinic/Center | 555 Park St Ste 230, Saint Paul, MN 55103-2193 | 2006-04-13 |
| 1083678379 | Total Renal Care Inc | Clinic/Center | 1045 Westgate Dr Ste 90, Saint Paul, MN 55114-1079 | 2006-04-13 |
| 1356457287 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 1690 University Ave W, #b-100, Saint Paul, MN 55104-3117 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183832 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 6160 Summit Dr N Ste 150, Brooklyn Center, MN 55430-2118 | 2020-10-28 |
| 1225541055 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 7433 Currell Blvd, Woodbury, MN 55125-2217 | 2017-11-15 |
| 1154856839 | Avera Marshall | Clinic/Center | 300 S Bruce St Ste D, Marshall, MN 56258-1934 | 2017-05-01 |
| 1225573777 | Atlantic Dialysis LLC | Clinic/Center | 1802 Commerce Dr, North Mankato, MN 56003-1800 | 2016-12-19 |
| 1437694981 | Atlantic Dialysis LLC | Clinic/Center | 701 N Broadway St, New Ulm, MN 56073-1201 | 2016-12-19 |
| 1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
| 1003292392 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 17592 Dodd Blvd, Lakeville, MN 55044-3909 | 2015-08-10 |
| 1629461470 | Babler Dialysis, LLC | Clinic/Center | 2660 S Broadway, Ste A, Rochester, MN 55904-6263 | 2015-03-17 |
| 1588067391 | Meesa Dialysis LLC | Clinic/Center | 245 Isle St W, Isle, MN 56342-4908 | 2014-10-07 |
| 1871995415 | Meesa Dialysis LLC | Clinic/Center | 30 25th Ave S, Saint Cloud, MN 56301-6285 | 2014-09-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
Please comment or provide details below to improve the information on CHAFFEE 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.