SHOALS DIALYSIS LLC (NPI# 1952734287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952734287 |
Entity Type | Organization |
Organization Name | SHOALS DIALYSIS LLC |
Other Organization Name | BLUFFTON DIALYSIS |
Practice Address |
101 Okatie Center Blvd S Bluffton SC 29909-7547 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 8437069900 |
Practice Fax Number | 8437069949 |
Mailing Telephone | 6153204593 |
Enumeration Date | 2013-08-09 |
Last Update Date | 2019-01-22 |
Authorized Official Name | MR. JAMES K 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 |
ERD-0209 | SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | RE0056 | 05 |
Other Name | Type Code |
---|---|
Bluffton Dialysis | Doing Business As Name - Organization |
Street Address |
101 OKATIE CENTER BLVD S |
City | BLUFFTON |
State | SC |
Zip Code | 29909-7547 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
1598379729 | Wellness Institute | Nurse Practitioner | 100 Okatie Center Boulevard North, Okatie, SC 29909 | 2020-09-04 |
1649764119 | Sprenger Healthcare of Bluffton, Inc | Skilled Nursing Facility | 60 Okatie Village Drive, Okatie, SC 29909 | 2018-06-19 |
1396144291 | Joel Bond | Physical Therapist | 100 Okatie Center Blvd. North, Bluffton, SC 29909 | 2014-08-15 |
1528484615 | Barnwell Counseling, LLC | Counselor | 1321 Calhoun Promenade Street, Bluffton, SC 29909 | 2014-03-13 |
1508299561 | Katherine Elizabeth Abell | Dentist | 40 Okatie Center Blvd S Ste 302, Okatie, SC 29909 | 2013-08-14 |
1578816716 | Costrini Sleep Services, Inc. | Internal Medicine | 8 Okatie Center Blvd., South, Suite 101, Bluffton, SC 29909 | 2012-10-25 |
1477845659 | Heart Associate of Hilton Head PC | Internal Medicine | 40 Okatie Boulevard, Suite 100-1, Okatie, SC 29909 | 2011-05-06 |
1366740326 | Edward Leonard Meyerink IIi | Pharmacist | 138 Okatie Center Blvd South, (walgreens), Okatie, SC 29909 | 2011-03-01 |
1407162944 | Stacey Mae Michaels | Behavioral Analyst | 418 Pinckney Colony Rd, Okate, SC 29909 | 2010-08-22 |
Find all providers in zip 29909 |
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 |
---|---|---|---|---|
1104088509 | Fresenius Medical Care Bluffton LLC | Clinic/Center | 1100 S Main St, Bluffton, IN 46714-3615 | 2008-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376160275 | Rco of Moncks Corner, Sc LLC | Clinic/Center | 422 Drive In Lane, Moncks Corner, SC 29461-0000 | 2020-06-26 |
1912536384 | Traville Dialysis, LLC | Clinic/Center | 196 Sloane Garden Rd, Boiling Springs, SC 29316-1929 | 2020-04-07 |
1992344196 | Sunrays Dialysis, LLC | Clinic/Center | 8080 Augusta Rd, Piedmont, SC 29673-9363 | 2020-01-06 |
1407494362 | Dialysis Center of Carolina LLC | Clinic/Center | 325 W Wesmark Blvd Ste A, Sumter, SC 29150-1987 | 2019-12-11 |
1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
1740845445 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 300 Baxter Brown Way, Summerville, SC 29486-8105 | 2019-05-08 |
1730644246 | Lanier Dialysis, LLC | Clinic/Center | 5552 Platt Springs Rd, Lexington, SC 29073-7518 | 2019-02-08 |
1568945210 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 5301 Highway 321, Gaston, SC 29053-9196 | 2018-09-10 |
1932604527 | Isd Renal Inc | Clinic/Center | 5506 Platt Springs Rd, Lexington, SC 29073-7518 | 2018-03-27 |
1740785518 | Jabine Dialysis, LLC | Clinic/Center | 3337 Highway 72-221 E, Greenwood, SC 29649-9772 | 2018-03-26 |
Find all providers with the same taxonomy |
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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.