CHARDONNAY DIALYSIS INC


Address: 807 W Fairchild St, Danville, IL 61832-3708
Phone: 2174771490

CHARDONNAY DIALYSIS INC (NPI# 1932416294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932416294
Entity Type Organization
Organization Name CHARDONNAY DIALYSIS INC
Practice Address 807 W Fairchild St
Danville
IL 61832-3708
Practice Telephone 2174771490
Mailing Telephone 2174771490
Enumeration Date 2010-09-08
Last Update Date 2010-09-08
Authorized Official Name JOE BURKE (VP BUSINESS RELATIONS)
Authorized Official Telephone 2174771490
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 807 W FAIRCHILD ST
City DANVILLE
State IL
Zip Code 61832-3708

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1023497237 Alpha Omega Counseling Services Community/Behavioral Health 120 N Vermilion, Danville, IL 61832 2015-05-20
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1134583263 Total Renal Care Inc Clinic/Center 26 E West Newell Rd, Danville, IL 61834-7488 2016-04-05
1144504549 Total Renal Care Inc Clinic/Center 3 Poland Rd, Danville, IL 61834-7463 2011-10-04
1538391248 Geisinger Medical Center Clinic/Center 100 Justin Dr, Danville, PA 17822-2450 2009-08-13
1881850857 Greater Boone Dialysis, LLC Clinic/Center 300 4th St., Danville, WV 25053 2008-07-30
1699877894 Bio-medical Applications of Kentucky, Inc. Clinic/Center 100 Woodlawn Way, Danville, KY 40422-9229 2006-09-01
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1649385402 Bio-medical Applications of Indiana, Inc. Clinic/Center 1594 E Main St, Suite A, Danville, IN 46122-1933 2006-08-20
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Competitor

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City DANVILLE
Zip Code 61832

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Dataset Information

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.

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